UTICA PARK CLINIC URGENT CARE
NPI 1467836692
Clinic/Center - Urgent Care in Tulsa, OK
NPI Status: Active since July 17, 2015
Contact Information
9245 S MINGO RD
TULSA, OK
ZIP 74133
Phone: (918) 574-0250
Fax: (918) 574-0259
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 37D2089523
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-31-2027
About UTICA PARK CLINIC URGENT CARE
This page provides the complete NPI Profile along with additional information for Utica Park Clinic Urgent Care, 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 1467836692 assigned on July 2015. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Utica Park Clinic Urgent Care. The authorized official of this NPI record is James E Kaltenbacher Mba, Cmpe (Chief Executive Officer)
- NPI
- 1467836692
- Provider Legal Name
- AHS OKLAHOMA PHYSICIAN GROUP, LLC
- Other Organization Name
- UTICA PARK CLINIC URGENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9245 S MINGO RD TULSA, OK 74133
- Location Phone
- (918) 574-0250
- Location Fax
- (918) 574-0259
- Mailing Address
- 9245 S MINGO RD TULSA, OK 74133
- Mailing Phone
- (918) 574-0250
- Mailing Fax
- (918) 574-0259
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2015
- Last Update Date
- 07-17-2015
- 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
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
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
- 37D2089523
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 01, 2025
- Certificate Expiration Date
- March 31, 2027
- Laboratory Director
- BRITTNEY J. BONNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Utica Park Clinic Urgent Care 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 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. | |||||||||
1 | 4 | 6 | 7 | 8 | 3 | 6 | 6 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 12 | 7 | 16 | 3 | 12 | 6 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 2 + 7 + 1 + 6 + 3 + 1 + 2 + 6 + 1 + 8 + 24 = 68 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 68 = 2 | 2 |
The NPI number 1467836692 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1811216369 | DONNA MAY DEVORE F.N.P.-B.C. Individual | Nurse Practitioner (Family) | 9245 S MINGO RD TULSA, OK 74133 (918) 574-0250 |
1639229198 | EARL MICHAEL CALLERY D.O. Individual | Family Medicine | 9245 S MINGO RD TULSA, OK 74133 (918) 574-0250 |
1598760712 | DR. BERNARD N ROBINOWITZ M.D. Individual | Dermatology | 9245 S MINGO RD SUITE 335 TULSA, OK 74133 (918) 492-8980 |
1245262419 | MATTHEW BRETT DOHLMAN P.A. Individual | Physician Assistant (Medical) | 9245 S MINGO RD TULSA, OK 74133 (918) 492-8980 |
1427536846 | MEGAN BLAIRE KASSEM Individual | Physician Assistant (Medical) | 9245 S MINGO RD TULSA, OK 74133 (918) 574-0250 |
1932682275 | COURTNEY MICHELLE FROEHLICH APRN-CNP Individual | Nurse Practitioner (Family) | 9245 S MINGO RD TULSA, OK 74133 (918) 574-0250 |
1902293020 | HANNAH HOWARD M.D. Individual | Dermatology | 9245 S MINGO RD TULSA, OK 74133 (918) 492-8980 |
1790121499 | DR. LISA MASK BULL M.D. Individual | Dermatology | 9245 S MINGO RD TULSA, OK 74133 (918) 492-8980 |
1760845606 | CANDICE ELISE MALDONADO NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 9245 S MINGO RD TULSA, OK 74133 (918) 574-0250 |
1043445620 | AELAYNA MEYER MD Individual | Internal Medicine | 9245 S MINGO RD TULSA, OK 74133 (918) 492-8980 |
1093193161 | DR. GIRISH CHINTAMANI MOHAN M.D. Individual | Dermatology | 9245 S MINGO RD TULSA, OK 74133 (918) 492-8980 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467836692, enumerated in the NPI registry as an "organization" on July 17, 2015
The provider is located at 9245 S Mingo Rd Tulsa, Ok 74133 and the phone number is (918) 574-0250
This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care
The provider's CLIA number is 37D2089523 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 17, 2015. 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].
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