Lifestyle Medical Center, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LIFESTYLE MEDICAL CENTER, PLLC

Practice address

4505 S Harvard Ave
Tulsa, OK 74135-2905

Phone

(918) 747-5555

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Gerry D LangstonNPI 1578655502

Title

President

Phone

(918) 747-5555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerry D. Langston, D.C., D.A.B.C.I.

  • Internist Chiropractor
  • Tulsa, OK
  • NPI 1578655502
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992214548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352905",
            "telephone_number": "918-747-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352905",
            "telephone_number": "918-747-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-747-5555"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Senior Services, Inc.
• Life Strategies International, Inc.
• Life'S Seasoning Counseling Service, LLC
• Lifeguard Anesthesia Services LLC
• Lifespan Speech and Language Services, LLC
• Lifestyle Medicine, Inc.
• Lifting Spirits
• Tamica Liggins
• Lighthouse Psychiatry PLLC
• Sheila Ann Ligon, APRN-CNP

• General Practice Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.