CALDWELL MEDICAL GROUP OF NORTH TULSA LLC NPI 1790155562

NPI Information

NPI: 1790155562
Provider Name: CALDWELL MEDICAL GROUP OF NORTH TULSA LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
8014 S 101ST EAST AVE
TULSA, OK
ZIP 74133
Phone: (918) 949-9910
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CALDWELL MEDICAL GROUP OF NORTH TULSA LLC is a medical physician assistant in Tulsa, OK. CALDWELL MEDICAL GROUP OF NORTH TULSA LLC NPI is 1790155562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8014 S 101ST EAST AVE
TULSA, OK
ZIP 74133-579
Phone: (918) 949-9910

The provider's authorized official is Kammie Caldwell .
The authorized official title is Sole Member and has the following contact phone number (918) 485-0291.

The enumeration date for this NPI number is 10/5/2015 and was last updated on 11/5/2015.

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
1	363AM0700X	Physician Assistant	Medical			Yes

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

NPI Synchronization or Removal

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