NPI 1326468224 · live from the CMS NPI Registry
Tyler Gregory Ellington, DO
Internal Medicine, Cardiovascular Disease in Owasso, OK. National Provider Identifier 1326468224, active.
NPI record
| NPI | 1326468224 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 10512 N 110th East Ave, Owasso, OK 74055 |
| Practice phone | 918-592-0999 |
| Mailing address | 9228 S Mingo Rd Ste 200, Tulsa, OK 74133 |
| Enumerated | April 18, 2014 |
| Last updated | August 1, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10049312 (TX) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 6866 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.