Active NPI
Electrodiagnostic Medicine of Tulsa
- Physical Medicine & Rehabilitation Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ELECTRODIAGNOSTIC MEDICINE OF TULSA
- Practice address
- 9308 S Toledo Ave
Tulsa, OK 74137-2739 - Phone
- (918) 728-8020
- Fax
- (918) 728-8019
- NPI assigned
- Aug 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey S Halsell, D.O
- Title
- Provider/Physician
- Phone
- (918) 728-8020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
9308 S Toledo Ave
Tulsa, OK 74137-2739
Mailing address
9308 S Toledo Ave
Tulsa, OK 74137-2739
Phone (918) 615-6581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1106630 | Electrodiagnostic Medicine | Accreditation | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
421 E 5th St
Bartlesville, OK 74003
801 S Walnut St
Stillwater, OK 74074
Phone (405) 372-2050
9308 S Toledo Ave
Tulsa, OK 74137
Phone (918) 615-6581
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tulsa, OK
- NPI 1376684167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1448064000000",
"number": "1972750941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9308 S TOLEDO AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741372739",
"telephone_number": "918-615-6581",
"fax_number": "918-893-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9308 S TOLEDO AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741372739",
"telephone_number": "918-728-8020",
"fax_number": "918-728-8019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELECTRODIAGNOSTIC MEDICINE OF TULSA",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-21",
"last_updated": "2015-11-21",
"status": "A",
"authorized_official_last_name": "HALSELL",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PROVIDER/PHYSICIAN",
"authorized_official_telephone_number": "918-728-8020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.