NORTHSIDE FAMILY PRACTICE PLLC
NPI 1205103231
Internal Medicine in Tulsa, OK

Q: What is Northside Family Practice PLLC's NPI number?

The NPI number for Northside Family Practice PLLC is 1205103231. It was assigned to this organization in the NPPES registry on November 18, 2011.

Q: What is Northside Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 18, 2011

3606 N MARTIN LUTHER KING JR BLVD, TULSA, OK 74106(918) 794-3536(918) 794-7784 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northside Family Practice Pllc NPPES

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

NORTHSIDE FAMILY PRACTICE PLLC (NPI 1205103231) is a healthcare organization registered as an internal medicine in Tulsa, Oklahoma and active in the NPI registry since November 2011. The organization lists Prakash George, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205103231

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameNORTHSIDE FAMILY PRACTICE PLLC

Location Address3606 N MARTIN LUTHER KING JR BLVDTulsa, OK 74106-6447

Mailing Address3606 N Martin Luther King Jr BlvdTulsa, OK 74106-6447 · (918) 794-3536 · Fax (918) 794-7784

Phone(918) 794-3536

Fax(918) 794-7784

Organization SubpartNo

Authorized OfficialPrakash GeorgeCfo · (918) 704-9408

Enumeration DateNovember 18, 2011

Last NPPES UpdateFebruary 24, 2025

NPPES CertifiedFebruary 24, 2025

✔ NPI 1205103231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

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.

3606 N MARTIN LUTHER KING JR BLVD, Tulsa, OK 74106

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

VOSIA XAN WILSON LPC

Counselor