Id Consultants PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

24139 Issued in OK

Legal business name

ID CONSULTANTS PLLC

Practice address

8609 Willow Springs CT
Broken Arrow, OK 74011-8250

Phone

(918) 361-2825

Fax

(770) 573-9513

NPI assigned

Dec 12, 2014

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaun White

Title

Manager

Phone

(502) 212-9393

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Louise Murray, MD PHD

  • Infectious Disease Physician
  • Tulsa, OK
  • NPI 1215912621
  Medicare reassignment NPD

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1932507605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 WILLOW SPRINGS CT",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740118250",
            "telephone_number": "918-361-2825",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 WILLOW SPRINGS CT",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740118250",
            "telephone_number": "918-361-2825",
            "fax_number": "770-573-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-212-9393"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "24139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037750A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24139",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minh The Huynh, OTL
• Hwe Marigny, PLC (Emerson Orthodontics)
• Hyland Physical Therapy and Wellness, LLC
• Michael Anthony Hyland, PT, DPT
• Lydia Noel Hyslop, COTA/L
• Ignite Potential Physical Therapy and Wellness PLLC (Ignite Potential PT & Wellness)
• Imaging Partners of Tulsa LLC (Envision Imaging Broken Arrow)
• Impact Chiropractic Clinic Inc PC
• Lindsey Ince, MS, RD/LD
• Independence Technologies

• Infectious Disease Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Infectious Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.