NPI Code Details Logo

NPI 1205780186

NPI 1205780186 : AHS OKLAHOMA PHYSICIANS GROUP L.L.C. : TULSA, OK

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205780186
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AHS OKLAHOMA PHYSICIANS GROUP L.L.C. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/25/2026
-----------------------------------------------------
    Last Update Date     |    02/25/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    110 W 7TH ST STE 2520 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74119-1104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-579-1073
-----------------------------------------------------
    Fax                  |    918-579-7848
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    110 W 7TH ST STE 2520 
-----------------------------------------------------
    City                 |    TULSA
-----------------------------------------------------
    State                |    OK
-----------------------------------------------------
    Zip                  |    74119-1104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    918-579-1073
-----------------------------------------------------
    Fax                  |    918-579-7848
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    NURSE PRACTITIONER
-----------------------------------------------------
    Name                 |     CASSANDRA SHEA ADAMS 
-----------------------------------------------------
    Credential           |    AGACNP
-----------------------------------------------------
    Telephone            |    918-899-0593
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.