MY DOCTOR IMMEDIATE CARE LLC
NPI 1992440622
Clinic/Center - Urgent Care in Tulsa, OK

NPI Status: Active since April 27, 2022

Contact Information

10106 S SHERIDAN RD STE B
TULSA, OK
ZIP 74133
Phone: (918) 619-9400

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 37D2032183
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 11-06-2027

About MY DOCTOR IMMEDIATE CARE LLC

This page provides the complete NPI Profile along with additional information for My Doctor Immediate Care Llc, a provider established in Tulsa, Oklahoma operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1992440622 assigned on April 2022. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Stanley R Stacy Do (Owner)

NPI
1992440622
Provider Name
MY DOCTOR IMMEDIATE CARE LLC
Entity Type
Organization
Location Address
10106 S SHERIDAN RD STE B TULSA, OK 74133
Location Phone
(918) 619-9400
Mailing Address
10106 S SHERIDAN RD STE B TULSA, OK 74133
Mailing Phone
(918) 619-9400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2022
Last Update Date
11-12-2024
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STANLEY R STACY DO

Authorized Official Title
OWNER
Authorized Official Phone
(918) 619-9400

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
37D2032183
Facility Type
Other - URGENT CARE
Certificate Effective Date
November 07, 2025
Certificate Expiration Date
November 06, 2027
Laboratory Director
STAN R. STACY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to My Doctor Immediate Care Llc 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 1992440622, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 4 → 8 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 8 + 4 + 0 + 6 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1992440622.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Family Medicine
10106 S SHERIDAN RD STE B
TULSA, OK 74133
Family Medicine
10106 S SHERIDAN RD STE B
TULSA, OK 74133
Physician Assistant
10106 S SHERIDAN RD STE B
TULSA, OK 74133
Physician Assistant
10106 S SHERIDAN RD STE B
TULSA, OK 74133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992440622, enumerated as an "organization" on April 27, 2022.

The provider is located at 10106 S SHERIDAN RD STE B TULSA, OK 74133 and the phone number is (918) 619-9400.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and. Please consult your insurance carrier or call the provider to verify.