MEMORIALPLACE NEUROLOGY NPI 1225169980

NPI Information

  • NPI: 1225169980
  • Provider Name: MEMORIALPLACE NEUROLOGY
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 37D1045962
  • Address: 7633 E 63RD PL
    SUITE 300
    TULSA, OK
    ZIP 74133
  • Phone: (918) 459-4529

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NPI Details

MEMORIALPLACE NEUROLOGY is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEMORIALPLACE NEUROLOGY NPI is 1225169980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7633 E 63RD PL
SUITE 300
TULSA, OK
ZIP 74133-273
Phone: (918) 459-4529

The provider's authorized official is Ken R Castino .
The authorized official title is Collection Manager and has the following contact phone number (918) 459-4529.

The CLIA number assigned to this NPI record is 37D1045962 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialistYes

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: 3/30/2025

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