OrganizationActive
Innovative Neurophysiologics LLC
NPI 1699307264 · Surgical Technologist · Tulsa, OK
Provider details
- NPI number
- 1699307264
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Valerie Shehan, Billing Associate(918) 895-7680
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1715 S Baltimore Ave
Tulsa, OK 74119-4807
Phone: (918) 895-7680
Fax: (918) 236-4646
Street-level locationGet directions
Mailing address
Po Box 268977 Dept 1071
Oklahoma City, OK 73126-8977
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2020-02-11
- Certified
- 2020-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.