ROBERT BENEDICT MAMMANA M.D. NPI 1720087570

NPI Information

  • NPI: 1720087570
  • Provider Name: ROBERT BENEDICT MAMMANA, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: 6151 S YALE AVE
    STE 304
    TULSA, OK
    ZIP 74136
  • Phone: (918) 502-3600

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NPI Details

Robert Benedict Mammana, M.D. is a thoracic surgery cardiothoracic vascular surgery in Tulsa, OK. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Robert Benedict Mammana, M.D. NPI is 1720087570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6151 S YALE AVE
STE 304
TULSA, OK
ZIP 74136-907
Phone: (918) 502-3600
Fax: (918) 502-3610

The enumeration date for this NPI number is 7/14/2005 and was last updated on 11/21/2011.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)20034OKLAHOMAYes

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
1F20493MEDICARE UPIN
2100005220AMEDICAIDOKLAHOMA
3241427222MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA

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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