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INVICTUS HEALTHCARE SYSTEM NPI 1639575160


NPI Information

NPI: 1639575160
Provider Name: INVICTUS HEALTHCARE SYSTEM

Doing Business As: INVICTUS HEALTHCARE SYSTEM

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization

CLIA Number: 37D2094734

Address:
9709 E 79TH ST
TULSA, OK
ZIP 74133
Phone: (918) 994-4000
Get Directions

INVICTUS HEALTHCARE SYSTEM is a neurological surgery in Tulsa, OK. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. INVICTUS HEALTHCARE SYSTEM NPI is 1639575160. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Invictus Healthcare System.

The provider's business location address is:

9709 E 79TH ST
TULSA, OK
ZIP 74133-566
Phone: (918) 994-4000
Fax: (918) 994-4090

The provider's authorized official is Gregory L Wilson .
The authorized official title is Owner and has the following contact phone number (918) 994-4000.

The CLIA number assigned to this NPI record is 37D2094734 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2014 and was last updated on 12/17/2021.


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
1207LP2900XAnesthesiologyPain Medicine25510OKLAHOMANo
2207T00000XNeurological Surgery2574OKLAHOMAYes
3207XX0005XOrthopaedic SurgerySports Medicine4272OKLAHOMANo

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
1200563910AMEDICAIDOKLAHOMA

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: 11/14/2023

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