Active NPI
Ethel Vasquez-Harmon, D.O.
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3264
- Practice address
- 1919 S Wheeling Ave
200
Tulsa, OK 74104-5638 - Phone
- (918) 748-7600
- Fax
- (918) 293-3109
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3264 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave
200
Tulsa, OK 74104-5638
Mailing address
1515 N. Harvard
Ste. E
Tulsa, OK 74115
Phone (918) 832-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100256910A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967
800 W Boise Cir
Suite 160
Broken Arrow, OK 74012-4932
Phone (918) 994-9160
8115 S Memorial Dr
Tulsa, OK 74133-4331
Phone (918) 254-6315
Hospital & facility affiliations
- Ascension St John Medical Center
- Ascension St John Broken Arrow
- Saint Francis Hospital, Inc
- St John Owasso
- Ascension St John Sapulpa
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3264 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Medical Group Inc | Internal Medicine | Current | Accepting new patients |
Locations
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
8115 S Memorial Dr
Tulsa, OK 74133
Phone (918) 254-6315
1515 N Harvard Ave
Ste E
Tulsa, OK 74115
Phone (918) 832-6049
1919 S Wheeling Ave
Ste 200
Tulsa, OK 74104
Phone (918) 748-7600
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- eharmon@ubergroup.gwaydirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1174578249
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Owasso, OK
- NPI 1144231432
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
- Critical Access Hospital
- Sapulpa, OK
- NPI 1922076603
-
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1922077536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N. HARVARD",
"address_2": "STE. E",
"city": "TULSA",
"state": "OK",
"postal_code": "74115",
"telephone_number": "918-832-6049",
"fax_number": "918-832-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE",
"address_2": "200",
"city": "TULSA",
"state": "OK",
"postal_code": "741045638",
"telephone_number": "918-748-7600",
"fax_number": "918-293-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ-HARMON",
"first_name": "ETHEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "3264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100256910A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.