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NPI Code Detail

MEDICARE: DR. JULIE D THOMAS-PINKSTON DO

MEDICARE: DR. JULIE D THOMAS-PINKSTON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician2907OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050062775OTHEROKRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2141624800OTHEROKDOL
35622461OTHEROKAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467446518
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE D THOMAS-PINKSTON DO
Provider Business Mailing Address
First Line : PO BOX 26901
Second Line : WP1140
City : OKLAHOMA CITY
State : OK
Zip : 73126
Country : US
Telephone Number : 405-271-4351
Fax Number : 405-271-8695
Provider Business Practice Location Address
First Line : 920 STANTON L YOUNG BLVD # WP1140
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number : 405-271-4351
Fax Number : 405-271-8695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 07/19/2019

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