SOUTHCREST EMERGENCY PHYSICIANS PC
NPI 1205816048
Emergency Medicine - Emergency Medical Services in Tulsa, OK
NPI Status: Active since January 18, 2006
Contact Information
8801 S 101ST EAST AVE
TULSA, OK
ZIP 74133
Phone: (918) 294-4000
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 37D1035190
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 12-22-2026
About SOUTHCREST EMERGENCY PHYSICIANS PC
This page provides the complete NPI Profile along with additional information for Southcrest Emergency Physicians Pc, a provider established in Tulsa, Oklahoma operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1205816048 assigned on January 2006. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Southcrest Emergency Physicians Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Stan Stacy D.o. (President)
- NPI
- 1205816048
- Provider Name
- SOUTHCREST EMERGENCY PHYSICIANS PC
- Entity Type
- Organization
- Location Address
- 8801 S 101ST EAST AVE TULSA, OK 74133
- Location Phone
- (918) 294-4000
- Mailing Address
- PO BOX 5358 NORMAN, OK 73070
- Mailing Phone
- (866) 321-8433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-18-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- License State
- OK
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 37D1035190
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- December 23, 2024
- Certificate Expiration Date
- December 22, 2026
- Laboratory Director
- JANET RUSSELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southcrest Emergency Physicians Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205816048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TULSA, OK 74133
TULSA, OK 74133
TULSA, OK 74133
TULSA, OK 74133
TULSA, OK 74133
TULSA, OK 74133
TULSA, OK 74133
TULSA, OK 74133
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205816048, enumerated as an "organization" on January 18, 2006.
The provider is located at 8801 S 101ST EAST AVE TULSA, OK 74133 and the phone number is (918) 294-4000.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
