INNOVATIVE NEUROPHYSIOLOGICS LLC (NPI# 1699307264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699307264 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE NEUROPHYSIOLOGICS LLC |
| Practice Address |
1715 S Baltimore Ave Tulsa OK 74119-4807 |
| Mailing Address |
Po Box 268977 Dept 1071 Oklahoma City OK 73126-8977 |
| Practice Telephone | 9188957680 |
| Practice Fax Number | 9182364646 |
| Mailing Telephone | 9188957680 |
| Mailing Fax Number | 9182364646 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | VALERIE SHEHAN (BILLING ASSOCIATE) |
| Authorized Official Telephone | 9188957680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1715 S BALTIMORE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74119-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803681 | Regal Dorn Neuromonitoring LLC | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2019-04-22 |
| 1568063170 | Jordon Sexton | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-11-02 |
| 1124632351 | Shayle Finch | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-09-04 |
| 1477167609 | Clint Gerber | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-09-04 |
| 1275143844 | Melvin Jenkins | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1962012534 | John Paul Hernandez Alcala | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1215547898 | Savannah Siegenthaler | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1578173167 | Kylie Dominick | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1093337297 | Kayla Crump | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
| 1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
| 1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
| 1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| 1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
| 1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
| 1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
| 1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
| 1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
| Find all providers in zip 74119 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803681 | Regal Dorn Neuromonitoring LLC | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2019-04-22 |
| 1922409903 | Advanced Neuro Monitoring LLC | Specialist/Technologist, Other | 9521 Riverside Pkwy Ste B, Sute 338, Tulsa, OK 74137-7422 | 2014-09-10 |
| 1316346695 | Midwest Neuro Solutions, Plc | Specialist/Technologist, Other | 9521 Riverside Pwky, #338, Tulsa, OK 74137-7304 | 2014-08-22 |
| 1114326451 | Tulsa Neuro Testing, Plc | Specialist/Technologist, Other | 9521 Riverside Pkwy, Suiye B, #338, Tulsa, OK 74137-7418 | 2014-08-21 |
| 1194989483 | Amanda Yvette Woody | Specialist/Technologist, Other | 3834 S 121st East Ave, Tulsa, OK 74146-3313 | 2008-07-15 |
| 1730300302 | Teresa N. Blue | Specialist/Technologist, Other | 6804 S. Canton Ave Suite 110, Tulsa, OK 74136 | 2007-05-01 |
| 1619097771 | Milton Cope Jr. | Specialist/Technologist, Other | 1628 S Jamestown Ave, Tulsa, OK 74112-6832 | 2007-03-30 |
| 1326189796 | Marie Lucille Livezey | Specialist/Technologist, Other | 1809 E. 13th St, Suite 400, Tulsa, OK 74104 | 2007-02-09 |
| 1417421819 | Southern Spine Partners LLC | Specialist/Technologist, Other | 9521b Riverside Pkwy # 338, Tulsa, OK 74137-7304 | 2019-01-18 |
| 1932678950 | Grove Neurological Services, LLC | Specialist/Technologist, Other | 9521b Riverside Pkwy # 338, Tulsa, OK 74137-7304 | 2018-11-20 |
| 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.