AMBULATORY SURGICAL CENTER OF TULSA, INC. (NPI# 1447392196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447392196 |
| Entity Type | Organization |
| Organization Name | AMBULATORY SURGICAL CENTER OF TULSA, INC. |
| Practice Address |
2107 E 15th St Tulsa OK 74104-4613 |
| Mailing Address |
11999 San Vicente Blvd Ste,. 440 Los Angeles CA 90049-5131 |
| Practice Telephone | 9187120888 |
| Mailing Telephone | 3104715852 |
| Mailing Fax Number | 3104713958 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GREG RATLIFF (OWNER) |
| Authorized Official Telephone | 9187120888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2107 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770512097 | Greg Ratliff | Surgery | 2107 E 15th St, Tulsa, OK 74104-4613 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1912090218 | Tulsa Hand Surgery Center LLC | Clinic/Center | 2000 S Wheeling, Suite 910, Tulsa, OK 74104-5647 | 2006-10-02 |
| 1417916800 | Tulsa Ok Endoscopy Asc LLC | Clinic/Center | 4200 E Skelly Dr, Suite 100, Tulsa, OK 74135-3247 | 2006-03-22 |
| 1114990736 | Tulsa Ok Ophthalmology Asc LLC | Clinic/Center | 7191 S Yale Ave, Tulsa, OK 74136-6326 | 2006-02-13 |
| 1487655627 | Union Pines Surgery Center,llc | Clinic/Center | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-10 |
| 1205452521 | Seva Surgery Center Oklahoma LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2020-06-23 |
| 1174084982 | South Tulsa Asc, LLC | Clinic/Center | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2019-03-26 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.