PRIME SOURCE DME OF OKLAHOMA (NPI# 1992079438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992079438 |
| Entity Type | Organization |
| Organization Name | PRIME SOURCE DME OF OKLAHOMA |
| Practice Address |
6810 E 40th St Ste A Tulsa OK 74145-4510 |
| Practice Telephone | 9189352088 |
| Practice Fax Number | 9189352087 |
| Mailing Telephone | 9189352088 |
| Mailing Fax Number | 9189352087 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | DONNA WALLACE (ADMINISTRATION MANAGER) |
| Authorized Official Telephone | 9189352088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Street Address |
6810 E 40TH ST STE A |
| City | TULSA |
| State | OK |
| Zip Code | 74145-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619118544 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 7709 E 42nd Place, Ste 126, Tulsa, OK 74145-4727 | 2009-03-24 |
| 1558461384 | Select Hme, LLC | Durable Medical Equipment & Medical Supplies | 4135 S. 100 E Ave, Suite 201, Tulsa, OK 74146-1620 | 2006-09-22 |
| 1952314577 | American Home Medical Services Inc | Durable Medical Equipment & Medical Supplies | 1517 S Harvard Ave, Tulsa, OK 74112-5821 | 2006-08-14 |
| 1619987294 | Cardiosom, LLC | Durable Medical Equipment & Medical Supplies | 10032 S Sheridan Rd, Suite H-i, Tulsa, OK 74133-6295 | 2006-08-08 |
| 1730118688 | Mobility Plus LLC | Durable Medical Equipment & Medical Supplies | 4227 Southwest Blvd, Tulsa, OK 74107-6522 | 2006-07-02 |
| 1609874072 | All Saints Home Medical LLC | Durable Medical Equipment & Medical Supplies | 3218 S 79th East Ave, Suite 100, Tulsa, OK 74145-1316 | 2005-07-11 |
| 1417233404 | Procare Healing Centers | Durable Medical Equipment & Medical Supplies | 11425 E 20th St, Tulsa, OK 74128-6438 | 2011-10-23 |
| 1568535961 | B & B Medical Services Inc | Durable Medical Equipment & Medical Supplies | 5401 S Sheridan Rd, 204, Tulsa, OK 74145-7531 | 2006-11-16 |
| 1861468266 | Home Health Warehouse LLC | Durable Medical Equipment & Medical Supplies | 12206 E 51st St, Suite 100, Tulsa, OK 74146-6231 | 2006-02-24 |
| 1962401539 | Community Care Health Services | Durable Medical Equipment & Medical Supplies | 3218 S 79th East Ave, Suite 100, Tulsa, OK 74145-1316 | 2005-07-18 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on PRIME SOURCE DME OF OKLAHOMA.
| 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.