Organization Active NPI

Osteopathic Cardiovascular Surg Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tulsa, OK
National Provider Identifier
1962510438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
1569 Issued in OK
Legal business name
OSTEOPATHIC CARDIOVASCULAR SURG INC
Practice address
802 S Jackson #200
Tulsa, OK 74127-9047
Phone
(918) 585-3372
Fax
(918) 599-9116
NPI assigned
Aug 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry Dullye, DONPI 1235208042
Title
Surgeon
Phone
(918) 585-3372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 1962 OK
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 1569 OK Primary

Addresses

Primary practice location

802 S Jackson #200
Tulsa, OK 74127-9047

Mailing address

802 S Jackson #200
Tulsa, OK 74127-9047
Phone (918) 585-3372

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962510438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S JACKSON #200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279047",
            "telephone_number": "918-585-3372",
            "fax_number": "918-599-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S JACKSON #200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279047",
            "telephone_number": "918-585-3372",
            "fax_number": "918-599-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC CARDIOVASCULAR SURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DULLYE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "918-585-3372",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "1962",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; 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.