Organization Active NPI

Oklahoma Life Access, PLLC

  • Vascular & Interventional Radiology Physician
  • Tulsa, OK
National Provider Identifier
1932528015
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
OKLAHOMA LIFE ACCESS, PLLC
Practice address
7519 S 49TH West Ave
Tulsa, OK 74131-3402
Phone
(918) 477-3790
NPI assigned
Apr 16, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Michael A. Lawless, M.D.
Title
President
Phone
(918) 744-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

7519 S 49TH West Ave
Tulsa, OK 74131-3402

Mailing address

1819 E 19TH St
Suite 410
Tulsa, OK 74104-5407
Phone (918) 744-2442

Other identifiers 1

IdentifierTypeStateIssuer
200534300AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1819 E 19th St
Ste 410
Tulsa, OK 74104
Phone (918) 744-2442

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1932528015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E 19TH ST",
            "address_2": "SUITE 410",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045407",
            "telephone_number": "918-744-2442",
            "fax_number": "918-403-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7519 S 49TH WEST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741313402",
            "telephone_number": "918-477-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA LIFE ACCESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-744-2442",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200534300A",
            "state": "OK"
        }
    ],
    "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 Aug 5, 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.