STEVEN L. NUSSBAUM D.O. NPI 1013987288

NPI Information

  • NPI: 1013987288
  • Provider Name: STEVEN L. NUSSBAUM, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9716 RIVERSIDE PARKWAY
    SUITE 100
    TULSA, OK
    ZIP 74137
  • Phone: (918) 299-4333

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NPI Details

Steven L. Nussbaum, D.O. is a general practice in Tulsa, OK with 39 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Steven L. Nussbaum, D.O. NPI is 1013987288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1987

The provider's business location address is:

9716 RIVERSIDE PARKWAY
SUITE 100
TULSA, OK
ZIP 74137
Phone: (918) 299-4333
Fax: (918) 299-4330

The NPI 1013987288 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2006 and was last updated on 9/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine34.004602OHIONo
2207PE0004XEmergency MedicineEmergency Medical Services3826OKLAHOMANo
3207Q00000XFamily Medicine3826OKLAHOMANo
4208D00000XGeneral Practice3826OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100040600BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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