Tracy G Whyburn

Primary specialty

Private VehicleTaxonomy code 347C00000X

Practice address

6332 E 98TH St
Tulsa, OK 74137-5022

Phone

(918) 625-6377

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962617738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 E 98TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375022",
            "telephone_number": "918-625-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 E 98TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375022",
            "telephone_number": "918-625-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHYBURN",
        "first_name": "TRACY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Wickizer, OTR/L
• Osekpamen Wickliffe, MD

• Private Vehicle in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Private Vehicle in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.