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GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC NPI 1104039437


NPI Information

NPI: 1104039437
Provider Name: GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC
Classification: Physical Medicine & Rehabilitation - 2081H0002X
Entity Type: Organization

Specialization: Hospice and Palliative Medicine

Address:
8803 S 101ST EAST AVE
SUITE#290
TULSA, OK
ZIP 74133
Phone: (918) 459-9500
Get Directions

GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC is a hospice and palliative medicine physical medicine rehabilitation in Tulsa, OK. The provider is a physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. GREEN COUNTRY SPORTS PHYSICAL MEDICINE AND REHAB PC NPI is 1104039437. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8803 S 101ST EAST AVE
SUITE#290
TULSA, OK
ZIP 74133-726
Phone: (918) 459-9500
Fax: (918) 459-0995

The provider's authorized official is Srikanth K Reddy .
The authorized official title is Presedent and has the following contact phone number (918) 459-9500.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 11/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081H0002XPhysical Medicine & RehabilitationHospice and Palliative Medicine20733OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G50662MEDICARE UPINOKLAHOMA

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: 4/28/2024

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