TULSA CARDIOVASCULAR CENTER OF EXCELLENCE, L.L.C (NPI# 1801355813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801355813 |
| Entity Type | Organization |
| Organization Name | TULSA CARDIOVASCULAR CENTER OF EXCELLENCE, L.L.C |
| Practice Address |
11912 S Norwood Ave Ste 105 Tulsa OK 74137-5509 |
| Mailing Address |
11912 S. Norwood Ave #205 Tulsa OK 74137 |
| Practice Telephone | 9189435303 |
| Practice Fax Number | 9189435302 |
| Mailing Telephone | 9189435303 |
| Mailing Fax Number | 9189435302 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MATTHEW J. COMSTOCK (SOLE MBR) |
| Authorized Official Telephone | 9189435303 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
11912 S NORWOOD AVE STE 105 |
| City | TULSA |
| State | OK |
| Zip Code | 74137-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356621353 | Taraka Vijaya Rama Raju Gadiraju | Internal Medicine | 6151 S Yale Ave Ste 1-304, Tulsa, OK 74136-1907 | 2011-08-22 |
| 1174750749 | Matthew Joseph Comstock | Internal Medicine | 11912 S Norwood Ave Ste 110, Tulsa, OK 74137-5509 | 2009-06-22 |
| 1497965818 | Heart Care of Tulsa, Inc. | Internal Medicine | 802 South Jackson, Suite 225, Tulsa, OK 74127 | 2007-05-23 |
| 1528152899 | Cardiovascular Consultants Inc | Internal Medicine | 5555 E 71 Street, Suite 7200, Tulsa, OK 74136-6544 | 2006-10-03 |
| 1790717270 | St John Cardiovascular Medicine Inc | Internal Medicine | 1923 E 21st St, Suite 200, Tulsa, OK 74114-1419 | 2006-07-07 |
| 1598719775 | Richard Lynn Irvin | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2006-05-20 |
| 1578524013 | Gregory Mcwilliams | Internal Medicine | 5555 E 71st St, Ste 7200, Tulsa, OK 74136 | 2006-03-31 |
| 1922080860 | David Matthew Wilkett | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2005-11-16 |
| 1194727164 | James Ray Higgins | Internal Medicine | 7912 E 31st Ct, Suite 320, Tulsa, OK 74145-1305 | 2005-08-10 |
| 1619976776 | William Bruce Ross | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2005-07-20 |
| 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.