OrganizationActive
Aegis Enterprises
NPI 1164479648 · Durable Medical Equipment & Medical Supplies · Tulsa, OK
Provider details
- NPI number
- 1164479648
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Gregory Goodman, Director/Officer(918) 392-0555
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10404 E 55th Pl
Suite W
Tulsa, OK 74146-6500
Phone: (918) 392-0555
Fax: (918) 392-0556
Street-level locationGet directions
Mailing address
10404 E 55th Pl
Tulsa, OK 74146-6500
Other names (DBA / former)
- Doing business as
- Advanced Pediatric Care
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2008-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.