NPI 1306884812 · live from the CMS NPI Registry
Adult Gastroenterology Associates INC
Internal Medicine, Gastroenterology in Tulsa, OK. National Provider Identifier 1306884812, active.
NPI record
| NPI | 1306884812 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 4200 E Skelly Dr Ste 700, Tulsa, OK 74135 |
| Practice phone | 918-438-7050 |
| Mailing address | Po Box 305, Lowell, AR 72745 |
| Enumerated | June 4, 2006 |
| Last updated | October 6, 2026 |
| Authorized official | Douglas Kliewer, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.