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NPI 1780015768 · Family Medicine Physician · Tulsa, OK
Provider details
- NPI number
- 1780015768
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Kurtz, Chief Executive Officer(918) 779-7431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
5160 S Yale Ave
Tulsa, OK 74135-7405
Phone: (918) 493-1298
Fax: (918) 493-1298
Street-level locationGet directions
Mailing address
4500 S 129th East Ave Ste 191
Tulsa, OK 74134-5891
Registry dates
- Enumerated
- 2013-12-02
- Last updated
- 2013-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.