Individual provider Active NPI

Christopher C Glisson, DO

  • Neurology Physician
  • Tulsa, OK
National Provider Identifier
1932254745
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7556 Issued in OK
Practice address
6565 S Yale Ave Ste 209
Tulsa, OK 74136-8303
Phone
(918) 488-0990
Fax
(918) 728-8036
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101015360 MI
Neurology Physician 2084N0400X 7556 OK Primary

Addresses

Primary practice location

6565 S Yale Ave Ste 209
Tulsa, OK 74136-8303

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Other practice location 1

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (991) 845-6064

Other practice location 2

245 Cherry St SE Ste 204
Grand Rapids, MI 49503-4607
Phone (616) 685-5050

Other identifiers 1

IdentifierTypeStateIssuer
1932254745MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071005000739 MI Practitioner - Neurology 9032204953 Reassigns benefits to 1 organization
I20220608000484 OK Practitioner - Neurology 9032204953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015360MIMDNeurology Physician
7556OKMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Northeastern Health System Current Accepting new patients
Tahlequah City Hospital CurrentSince Jun 1, 2022 Accepting new patients
Warren Clinic Inc CurrentSince Jan 8, 2024 Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current Accepting new patients
Tahlequah Medical Group LLC CurrentSince Jun 1, 2022 Accepting new patients
Northeastern Health System CurrentSince Jun 1, 2022 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Aug 1, 2013 Accepting new patients
Advantage Health Saint Mary'S Medical Group PastSince Feb 1, 2022 Accepting new patients
Trinity Health - Michigan Past Accepting new patients
Saint Mary'S Health Services Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

245 State St SE
Ste 1A
Grand Rapids, MI 49503

220 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 685-5576

245 Cherry St SE
Ste 200
Grand Rapids, MI 49503
Phone (616) 685-3330

245 Cherry St SE
Ste 204
Grand Rapids, MI 49503
Phone (616) 685-3330

1373 E Boone St
Ste 2300
Tahlequah, OK 74464
Phone (918) 207-0025

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

6475 S Yale Ave
Ste 301
Tulsa, OK 74136
Phone (918) 494-9300

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6565 S Yale Ave
Ste 209
Tulsa, OK 74136
Phone (918) 392-4550

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: cglisson307819@direct.saintfrancis.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1932254745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 209",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368303",
            "telephone_number": "918-488-0990",
            "fax_number": "918-728-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Downing St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643324",
            "country_code": "US",
            "telephone_number": "991-845-6064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Cherry St SE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495034607",
            "country_code": "US",
            "telephone_number": "616-685-5050",
            "fax_number": "616-685-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLISSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101015360",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "7556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932254745",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.