OrganizationActive
Id Consultants PLLC
NPI 1932507605 · Infectious Disease Physician · Broken Arrow, OK
Provider details
- NPI number
- 1932507605
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shaun White, Manager(502) 212-9393
- License
- 24139 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
8609 Willow Springs Ct
Broken Arrow, OK 74011-8250
Phone: (918) 361-2825
Fax: (770) 573-9513
Street-level locationGet directions
Mailing address
8609 Willow Springs Ct
Broken Arrow, OK 74011-8250
Registry dates
- Enumerated
- 2014-12-12
- Last updated
- 2015-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.