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

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  • 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
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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

JAMES E KALTENBACHER MBA, CMPE

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(918) 579-5008

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.
1467836692
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412716312618
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 = 22

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 Medicine9245 S MINGO RD
TULSA, OK 74133
(918) 574-0250
1598760712DR. BERNARD N ROBINOWITZ M.D.
Individual
Dermatology9245 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
Dermatology9245 S MINGO RD
TULSA, OK 74133
(918) 492-8980
1790121499DR. LISA MASK BULL M.D.
Individual
Dermatology9245 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 Medicine9245 S MINGO RD
TULSA, OK 74133
(918) 492-8980
1093193161DR. GIRISH CHINTAMANI MOHAN M.D.
Individual
Dermatology9245 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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