My Doctor Immediate Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MY DOCTOR IMMEDIATE CARE LLC

Practice address

10106 S Sheridan Rd Ste B
Tulsa, OK 74133-6731

Phone

(918) 619-9400

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Stanley R Stacy, DONPI 1225018757

Title

Owner

Phone

(918) 619-9400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Stanley R Stacy, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
  • NPI 1225018757
  Medicare reassignment Care Compare group NPD Authorized official
• Margaret McDowell, PA

  • Physician Assistant
  • Tulsa, OK
  • NPI 1932189248
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1992440622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 S SHERIDAN RD STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336776",
            "telephone_number": "918-619-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 S SHERIDAN RD STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336731",
            "telephone_number": "918-619-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DOCTOR IMMEDIATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-619-9400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Montez Mutzig, M.D.
• Bilal Ahmed Muzaffar, MD
• My Brothers Keeper Services Unlimited Inc.
• My Choice in-Home Senior Care
• My Doctor Family Care, LLC
• Rahul Myadam, MD
• Haley Myers-Brannon, MS, LPC
• Amanda Shantel Myers, MSW
• Courtney Myers, APRN
• Cristina Myers

• Urgent Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Urgent Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.