Allison Eldridge

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7477 E 46TH PL
Tulsa, OK 74145-6305

Phone

(918) 384-0002

Fax

(918) 338-4000

NPI assigned

Jan 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Therapeutic Interventions

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bartlesville, OK
  • NPI 1831439066
  Medicare reassignment
• The Center for Therapeutic Interventions

  • Methadone Clinic
  • Tulsa, OK
  • NPI 1790803286
  NPD

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1982141362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 E 46TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456305",
            "telephone_number": "918-384-0002",
            "fax_number": "918-338-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 E 46TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456305",
            "telephone_number": "918-384-0002",
            "fax_number": "918-338-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 SE Adams Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740068437",
            "country_code": "US",
            "telephone_number": "918-333-3828",
            "fax_number": "918-384-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OK",
            "license": "2763",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holley Michelle Elam, LPC
• Rachael Elizabeth Elam, BSSW
• Greer Elbon
• Amanda Jean Elder, PAC
• Oula M Eldow
• Emilie Brooke Eldridge
• James Eldridge, DC
• Lyndon Drew Eldridge, DO
• Maria Elaine Eldridge, DC
• Shania Monea Eleam

• Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.