FUNCTIONAL MEDICAL INSTITUTE
NPI 1720354202
Internal Medicine in Tulsa, OK

Active since March 28, 2012CLIA 37D2038361 · Waiver
6048 S SHERIDAN RD, TULSA, OK 74145(918) 748-3640(918) 748-3644 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Functional Medical Institute NPPES

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

FUNCTIONAL MEDICAL INSTITUTE (NPI 1720354202) is a healthcare organization registered as an internal medicine in Tulsa, Oklahoma and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Michele L Neil, Owner, as its authorized official.

NPPES Registry Identity

NPI1720354202
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMICHELE L NEIL DO, PLLC
Location Address6048 S SHERIDAN RDTulsa, OK 74145-9212
Mailing Address6048 S Sheridan RdTulsa, OK 74145-9212 · (918) 748-3640 · Fax (918) 748-3644
Fax(918) 748-3644
Organization SubpartNo
Authorized OfficialMichele L NeilOwner · (918) 748-3640
Enumeration DateMarch 28, 2012
NPI 1720354202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · 4105
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.

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 4105 (TX)
6048 S SHERIDAN RD, Tulsa, OK 74145

Other Names 1

Doing Business AsFunctional Medical Institute

Other Identifiers 1

Medicare PIN1902983661OK

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2038361

Functional Medical Institute · Tulsa, OK
Active · expires Mar 19, 2028
CLIA Number37D2038361
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorMichele L. Neil
Laboratory Phone(918) 960-0595
Laboratory LocationFunctional Medical Institute6048 South Sheridan, Suite E, Tulsa, OK 74145
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Chiropractor
6048 S SHERIDAN RD
TULSA, OK 74145
Chiropractor
6048 S SHERIDAN RD
TULSA, OK 74145
Specialist/Technologist (Athletic Trainer)
6048 S SHERIDAN RD
TULSA, OK 74145
Counselor (Addiction (Substance Use Disorder))
6048 S SHERIDAN RD
TULSA, OK 74145
Chiropractor (Nutrition)
6048 S SHERIDAN RD
TULSA, OK 74145
Chiropractor
6048 S SHERIDAN RD
TULSA, OK 74145
Clinic/Center (Medical Specialty)
6048 S SHERIDAN RD
TULSA, OK 74145
Chiropractor
6048 S SHERIDAN RD, SUITE A
TULSA, OK 74145

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720354202, enumerated as an "organization" on March 28, 2012.

The provider is located at 6048 S SHERIDAN RD TULSA, OK 74145 and the phone number is (918) 748-3640.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.