Active NPI 1104853142 Individual Practitioner Male Practitioner

Dr. Joseph Michael Moore , MD

Internal Medicine • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Moore, MD is a certified Internal Medicine practicing in Tulsa, OK. With approximately 23 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2003, Dr. Moore delivers high-quality medical care to the local community at 7127 S OLYMPIA AVE.

Dr. Moore is affiliated with Williams Medical Group Practice, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, chronic care management services, first, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7127 S Olympia Ave

Tulsa, OK 741321856

Telephone 9188760521

Fax 9188760939

Associated Practice Facility / Clinic

🏢 Mednow Primary Care Center Llc Facility NPI 1154890853

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tulsa, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +3.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

326 Specialists

Practicing in Tulsa, OK (1179 Statewide)

Telehealth Adoption Rate

19.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (23 Years) 23 Yrs

Tulsa Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	431	219	$175.01	$100.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	349	180	$75.00	$58.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	293	171	$129.92	$69.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	286	149	$129.98	$69.81
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	257	201	$125.00	$71.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	213	123	$175.06	$100.40
99306 Initial nursing facility visit, typically 45 minutes per day	182	180	$300.05	$171.70
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	72	72	$75.00	$41.54
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	57	57	$254.47	$125.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	53	51	$253.04	$125.50
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	45	45	$326.27	$183.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	44	36	$75.00	$47.93
99316 Nursing facility discharge management, more than 30 minutes	21	21	$155.00	$124.07
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$50.00	$33.01
99441 Telephone medical discussion with physician, 5-10 minutes	14	13	$50.00	$49.37
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$110.00	$76.60
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	12	$227.38	$144.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,810	682	$175.00	$85.14
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	1,044	619	$125.00	$73.31
99306 Initial nursing facility visit, typically 45 minutes per day	594	559	$299.79	$155.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	584	199	$175.00	$85.03
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	489	149	$125.00	$80.97
99316 Nursing facility discharge management, more than 30 minutes	242	232	$155.00	$97.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	223	127	$130.00	$64.12
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	172	141	$225.00	$124.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	136	108	$130.00	$64.15
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	121	121	$75.00	$42.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	79	$208.91	$102.63
99441 Telephone medical discussion with physician, 5-10 minutes	86	78	$50.00	$34.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	72	68	$250.00	$120.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	60	59	$250.00	$120.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$225.00	$36.46
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	53	47	$225.00	$124.87
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	52	52	$225.96	$185.55
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$142.00	$95.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	36	36	$75.00	$59.32
99441 Telephone medical discussion with physician, 5-10 minutes	29	28	$50.00	$49.37
99306 Initial nursing facility visit, typically 45 minutes per day	25	25	$300.00	$155.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,218	392	$175.00	$86.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	759	133	$175.00	$86.32
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	495	322	$125.00	$78.16
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	434	133	$125.00	$78.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	153	$209.00	$95.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$225.00	$125.26
99306 Initial nursing facility visit, typically 45 minutes per day	165	161	$300.00	$158.65
99213 Established patient office or other outpatient visit, typically 15 minutes	117	101	$142.00	$71.52
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	85	84	$75.00	$43.10
99316 Nursing facility discharge management, more than 30 minutes	80	78	$155.00	$99.20
G0008 Administration of influenza virus vaccine	46	46	$41.00	$15.73
90662 Influenza vaccine split virus, preservative free	42	42	$70.00	$65.26
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	25	19	$225.00	$125.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	19	$130.00	$65.37
99306 Initial nursing facility visit, typically 45 minutes per day	25	25	$300.00	$158.65
99315 Nursing facility discharge day management, 30 minutes or less	22	21	$110.00	$69.25
99441 Telephone medical discussion with physician, 5-10 minutes	22	20	$48.18	$34.70
99441 Telephone medical discussion with physician, 5-10 minutes	21	17	$49.52	$47.34
G0009 Administration of pneumococcal vaccine	18	18	$41.00	$15.79
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	17	$250.00	$123.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$319.00	$159.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$281.00	$141.35
99316 Nursing facility discharge management, more than 30 minutes	11	11	$155.00	$99.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,447	441	$175.00	$88.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	493	97	$175.00	$88.18
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	463	292	$124.84	$79.79
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	349	331	$75.00	$44.42
99306 Initial nursing facility visit, typically 45 minutes per day	338	312	$300.00	$162.11
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	325	81	$124.77	$79.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	286	129	$130.00	$66.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	163	$209.00	$81.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	205	205	$225.00	$109.61
99316 Nursing facility discharge management, more than 30 minutes	143	133	$155.00	$101.85
99213 Established patient office or other outpatient visit, typically 15 minutes	98	80	$142.00	$57.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	74	48	$130.00	$66.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	40	38	$250.00	$125.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	37	$250.00	$125.30
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	32	30	$225.00	$130.31
G0009 Administration of pneumococcal vaccine	28	28	$41.00	$15.75
G0008 Administration of influenza virus vaccine	27	27	$41.00	$15.78
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	23	21	$75.00	$59.11
90662 Influenza vaccine split virus, preservative free	22	22	$70.00	$60.98
99315 Nursing facility discharge day management, 30 minutes or less	21	19	$110.00	$71.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$319.00	$159.03
99306 Initial nursing facility visit, typically 45 minutes per day	14	13	$300.00	$161.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$115.00	$114.78
90670 Pneumococcal vaccine for injection into muscle	14	14	$232.00	$227.31
99496 Transitional care management services for problem of high complexity	12	12	$529.00	$231.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	11	11	$225.00	$130.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,223	418	$175.00	$87.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	788	226	$131.91	$65.97
99306 Initial nursing facility visit, typically 45 minutes per day	382	345	$347.66	$160.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	156	$207.91	$78.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	246	73	$132.00	$66.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$225.00	$108.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	197	78	$175.00	$88.07
99316 Nursing facility discharge management, more than 30 minutes	196	180	$203.78	$101.81
99213 Established patient office or other outpatient visit, typically 15 minutes	141	112	$141.04	$54.95
G0008 Administration of influenza virus vaccine	81	81	$41.00	$15.46
90662 Influenza vaccine split virus, preservative free	76	76	$65.00	$54.89
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	48	40	$274.00	$123.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	31	28	$273.23	$125.46
G0009 Administration of pneumococcal vaccine	28	28	$41.00	$15.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$319.00	$157.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$277.45	$112.85
99496 Transitional care management services for problem of high complexity	18	17	$488.00	$218.25
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	17	$260.00	$130.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$115.00	$110.07
99495 Transitional care management services for problem of at least moderate complexity	12	11	$343.83	$154.43
17000 Destruction of skin growth	12	11	$136.00	$61.55
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$351.00	$160.76
90670 Pneumococcal vaccine for injection into muscle	11	11	$232.00	$209.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,356	292	$132.00	$66.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,345	332	$175.00	$87.68
99306 Initial nursing facility visit, typically 45 minutes per day	310	279	$350.72	$160.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	219	219	$225.00	$109.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	126	$203.00	$86.89
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	191	64	$86.00	$42.67
99213 Established patient office or other outpatient visit, typically 15 minutes	191	121	$137.00	$58.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	173	66	$132.00	$66.62
99316 Nursing facility discharge management, more than 30 minutes	149	137	$203.00	$102.36
G0008 Administration of influenza virus vaccine	91	89	$41.00	$18.90
90662 Influenza vaccine split virus, preservative free	82	82	$65.00	$52.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	61	41	$175.00	$88.14
G0009 Administration of pneumococcal vaccine	46	46	$41.00	$18.52
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	36	33	$273.39	$125.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$115.00	$102.68
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	24	$274.00	$125.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	15	$86.00	$43.01
99315 Nursing facility discharge day management, 30 minutes or less	24	22	$140.00	$70.14
99496 Transitional care management services for problem of high complexity	19	17	$477.00	$219.69
90670 Pneumococcal vaccine for injection into muscle	16	16	$232.00	$199.48
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$192.00	$88.10
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$351.00	$161.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$319.00	$158.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,756	376	$132.00	$65.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	918	330	$175.00	$86.91
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	423	181	$86.30	$42.45
99306 Initial nursing facility visit, typically 45 minutes per day	345	309	$322.00	$159.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$225.00	$108.04
99213 Established patient office or other outpatient visit, typically 15 minutes	169	130	$137.00	$65.92
99316 Nursing facility discharge management, more than 30 minutes	161	149	$203.00	$101.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	98	$203.00	$95.30
G0009 Administration of pneumococcal vaccine	106	106	$41.00	$23.05
G0008 Administration of influenza virus vaccine	105	104	$41.00	$23.05
90662 Influenza vaccine split virus, preservative free	100	99	$64.98	$47.99
90670 Pneumococcal vaccine for injection into muscle	76	76	$230.43	$184.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	24	$132.00	$65.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$339.00	$160.32
99315 Nursing facility discharge day management, 30 minutes or less	33	33	$140.00	$69.86
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$114.68	$95.46
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	26	$252.00	$124.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	18	$175.00	$87.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$319.00	$155.98
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	25	24	$177.00	$87.43
99496 Transitional care management services for problem of high complexity	24	22	$477.00	$216.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	19	$117.00	$50.19
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	15	$85.95	$42.51
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$256.12	$124.51
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	14	$260.00	$129.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$117.00	$50.16

Medical Specialties & State Licenses

CMS Verified: 2023-05-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 23398

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OK 23398

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

Williams Medical Group Practice, Llc

7127 S Olympia Ave, Tulsa, OK 741321856

Phone: 9186659500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Amanda Martin , APRN

Nurse Practitioner - Family

NPI 1194340307

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location May 11, 2023

Registered at 7127 S OLYMPIA AVE, TULSA, OK 741321856 (Tel: 9188760521)

📍

Updated Business Mailing Address May 11, 2023

Registered at 701 CEDAR LAKE BLVD STE 160, OKLAHOMA CITY, OK 731147818 (Tel: 4057240574)

📍

Updated Practice Location July 14, 2022

Registered at 9820 E 41ST ST STE 301, TULSA, OK 741463605 (Tel: 9188760521)

📍

Updated Business Mailing Address July 14, 2022

Registered at 9820 E 41ST ST STE 301, TULSA, OK 741463605 (Tel: 9188760521)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Pediatrics (License #23398 in OK)

✅

NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2014

Registered at 10507 E 91ST ST, SUITE 220, TULSA, OK 741335589 (Tel: 9183075420)

📍

Updated Business Mailing Address October 30, 2014

Registered at 6600 S YALE AVE, SUITE 1400, TULSA, OK 741363347

👤

Provider Name / Credentials Updated October 30, 2014

Recorded as JOSEPH MOORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Internal Medicine (License #23398 in OK)

🟢

Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104853142

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2006

Last Update: May 11, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

701 Cedar Lake Blvd Ste 160

Oklahoma City, OK 731147818

Phone: 4057240574

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.