Individual provider Active NPI

Jules L Merenda, D.O.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1932174331
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3814 Issued in OK
Practice address
9001 S 101St East Ave Ste 270
Tulsa, OK 74133
Phone
(918) 392-7000
Fax
(918) 392-7013
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3814 OK Primary

Addresses

Primary practice location

9001 S 101St East Ave Ste 270
Tulsa, OK 74133

Mailing address

9001 S 101St East Ave Ste 270
Tulsa, OK 74133-5711
Phone (918) 392-7000

Other practice location 1

1401 W Locust St
Suite 102
Stilwell, OK 74960-3217
Phone (918) 696-4065

Other identifiers 1

IdentifierTypeStateIssuer
100257270AMedicaidOK

Other names 1

  • Julie Prichard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3814OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1932174331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE STE 270",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335711",
            "telephone_number": "918-392-7000",
            "fax_number": "918-392-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE STE 270",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-392-7000",
            "fax_number": "918-392-7013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W Locust St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Stilwell",
            "state": "OK",
            "postal_code": "749603217",
            "country_code": "US",
            "telephone_number": "918-696-4065",
            "fax_number": "918-696-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERENDA",
        "first_name": "JULES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100257270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "PRICHARD",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.