Unknown Individual – Neurology with Special Qualifications in Child Neurology Physician, NPI 1679572358
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States
SUITE 1400
TULSA, OK 741363347
Phone: (918) 488-6001
Fax: (918) 488-6010
Type: Mailing
8110, South Yale Avenue, Signal Hill, Tulsa, Tulsa County, Oklahoma, 74137, United States
TULSA, OK 741372210
Phone: (918) 488-0990
Fax: (918) 728-8036
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2023-10-30 • Largest payer in this snapshot: Abbott Laboratories ($122).
Total Amount
$122
General + Research + Ownership
Payments
1
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $122 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| P O D I A T R Y | OK | |
| Pediatric Medicine | OK | |
| - | OK |
Reviews
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