MEDICARE: DR. MICHAEL K VAN ANTWERP DC

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
1	111NR0400X	Rehabilitation Chiropractor	3629	OK
2	111NS0005X	Sports Physician Chiropractor	3629	OK
3	111N00000X	Chiropractor	3629	OK

General Provider Information

NPI Number	:	1043259393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL K VAN ANTWERP DC

Provider Business Mailing Address
First Line	:	5508 S LEWIS AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-7105
Country	:	US
Telephone Number	:	918-259-3000
Fax Number	:	918-259-3002

Provider Business Practice Location Address
First Line	:	5508 S LEWIS AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-7105
Country	:	US
Telephone Number	:	918-259-3000
Fax Number	:	918-259-3002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	10/21/2021

Similar Medicare Providers

1558365213 — DR. WILLIAM F LETCHER D.M.D.
Practice Location Address:

5522 S LEWIS AVE
TULSA, OK
74105-7105

Practice Phone: 918-743-4496
Practice Fax: 918-743-4436

1710958483 — DR. PETER ALAN RAO MD
Practice Location Address:

5544 S LEWIS AVE STE 600
TULSA, OK
74105-7105

Practice Phone: 918-747-4900
Practice Fax: 918-747-4903

1023127065 — MRS. CORI ANN BURCHART M.P.T.
Practice Location Address:

5522 S LEWIS AVE
TULSA, OK
74105-7105

Practice Phone: 918-488-8285
Practice Fax: 918-488-8144

1316131139 — MEDE, LLC
Practice Location Address:

5508 S LEWIS AVE
TULSA, OK
74105-7105

Practice Phone: 918-259-3000
Practice Fax: 918-259-3002

1740621549 — PETER ALAN RAO, M.D., PLLC
Practice Location Address:

5544 S LEWIS AVE , SUITE 600
TULSA, OK
74105-7105

Practice Phone: 918-747-4900
Practice Fax: 918-747-4903

1881099414 — RMO - TULSA, PLLC
Practice Location Address:

5522 S LEWIS AVE
TULSA, OK
74105-7105

Practice Phone: 918-488-8285
Practice Fax:

Directions to “ DR. MICHAEL K VAN ANTWERP DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.