NPIMap

Organization Active NPI

Medstaff PC

  • Family Medicine Physician
  • Broken Arrow, OK
National Provider Identifier
1922441591
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSTAFF PC
Practice address
1749 N Aspen Ave
Suite 1757
Broken Arrow, OK 74012
Phone
(918) 249-8776
Fax
(404) 494-7524
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Tony Young
Title
Secretary
Phone
(918) 779-7431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1749 N Aspen Ave
Suite 1757
Broken Arrow, OK 74012

Mailing address

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891
Phone (918) 779-7900

National Provider Directory

National Provider Directory
Tax ID family
Medstaffpc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1749 N Aspen Ave
Ste 1757
Broken Arrow, OK 74012
Phone (918) 249-8776

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1922441591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891",
            "telephone_number": "918-779-7900",
            "fax_number": "918-779-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 N ASPEN AVE",
            "address_2": "SUITE 1757",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-249-8776",
            "fax_number": "404-494-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAFF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "918-779-7431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.