NPIMap

Organization Active NPI

Advanced Neuro Monitoring LLC

  • Surgical Technologist
  • Tulsa, OK
National Provider Identifier
1922409903
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
ADVANCED NEURO MONITORING LLC
Practice address
9521 Riverside Pkwy Ste B
Sute 338
Tulsa, OK 74137-7422
Phone
(214) 675-0905
Fax
(214) 317-4888
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trase Mahan
Title
Manager
Phone
(214) 675-0905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

9521 Riverside Pkwy Ste B
Sute 338
Tulsa, OK 74137-7422

Mailing address

PO Box 108809
Oklahoma City, OK 73101-8809
Phone (214) 675-0905

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1922409903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 RIVERSIDE PKWY STE B",
            "address_2": "SUTE 338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377422",
            "telephone_number": "214-675-0905",
            "fax_number": "214-317-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEURO MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "TRASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-675-0905"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.