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

NPI Status: Active since November 18, 2011

Contact Information

3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK
ZIP 74106
Phone: (918) 794-3536
Fax: (918) 794-7784

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  • Organization
  • Internal Medicine

About NORTHSIDE FAMILY PRACTICE PLLC

This page provides the complete NPI Profile along with additional information for Northside Family Practice Pllc, an internist established in Tulsa, Oklahoma operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1205103231 assigned on November 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated February 2025. Northside Family Practice Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Prakash George (Cfo)

NPI
1205103231
Provider Name
NORTHSIDE FAMILY PRACTICE PLLC
Entity Type
Organization
Location Address
3606 N MARTIN LUTHER KING JR BLVD TULSA, OK 74106
Location Phone
(918) 794-3536
Location Fax
(918) 794-7784
Mailing Address
3606 N MARTIN LUTHER KING JR BLVD TULSA, OK 74106
Mailing Phone
(918) 794-3536
Mailing Fax
(918) 794-7784
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2011
Last Update Date
02-24-2025
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An internist like Northside Family Practice Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

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

PRAKASH GEORGE

Authorized Official Title
CFO
Authorized Official Phone
(918) 704-9408

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205103231
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220520626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 2 + 0 + 6 + 2 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1205103231 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740660349 SARAH WULFERS APRN
Individual
Nurse Practitioner (Pediatrics)3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 428-5373
1427502707 RAMONA ROGERS
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1285188557 ANTWANIQUE BRAMLETT
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1477008878 SHAMECA BROWN
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1811445174WESTVIEW FAMILY MEDICINE, LLC
Organization
Family Medicine3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 425-1385
1952851594 NORRIS VANN SCOTT III
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1679014807 CIARA HILL
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1639662687WESTVIEW MEDICAL IMAGING
Organization
Clinic/Center (Radiology)3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 425-1385
1053659946 VOSIA XAN WILSON LPC
Individual
Counselor3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1356039358MISS KEYONA JOHNSON
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1679256168 JORDAN HARLIN
Individual
Case Management3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1730927641 JAMICA L BLACK
Individual
Case Manager/Care Coordinator3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 949-4212
1164603213QUALITY CARE MEDICAL CENTER INC
Organization
Clinic/Center (Medical Specialty)3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 585-1550
1942290788 ULYSSES S BOWLER JR. MD
Individual
Internal Medicine3606 N MARTIN LUTHER KING JR BLVD
TULSA, OK 74106
(918) 794-3536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205103231, enumerated in the NPI registry as an "organization" on November 18, 2011

The provider is located at 3606 N Martin Luther King Jr Blvd Tulsa, Ok 74106 and the phone number is (918) 794-3536

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on November 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.