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EAST TULSA MEDICAL GROUP
NPI 1114336534
Family Medicine in Tulsa, OK

Active since August 11, 2014
11445 E 20TH ST, TULSA, OK 74128(918) 437-6830(918) 437-6171 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Tulsa Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TULSA MEDICAL GROUP (NPI 1114336534) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since August 2014. The organization lists Jeff A Barentine, Partner, as its authorized official.

NPPES Registry Identity

NPI1114336534
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST TULSA MEDICAL GROUP
Location Address11445 E 20TH STTulsa, OK 74128-6421
Mailing Address11445 E 20th StTulsa, OK 74128-6421 · (918) 437-6830 · Fax (918) 437-6171
Phone(918) 437-6830
Fax(918) 437-6171
Organization SubpartNo
Authorized OfficialJeff A BarentinePartner · (918) 437-6830
Enumeration DateAugust 11, 2014
✔ NPI 1114336534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 1567
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11445 E 20TH ST, Tulsa, OK 74128
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID D MOON DO PC
Family Medicine
11445 E 20TH ST, SUITE 200
TULSA, OK 74128
Tulsa County (918) 437-6830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Tulsa Medical Group's NPI number?

The NPI number for East Tulsa Medical Group is 1114336534. It was assigned to this organization in the NPPES registry on August 11, 2014.

Where is East Tulsa Medical Group located?

East Tulsa Medical Group is located at 11445 E 20th St, Tulsa, OK 74128. The listed phone number is (918) 437-6830.

What is East Tulsa Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for East Tulsa Medical Group was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.