Archwell Health Professional Services of Oklahoma, LLC
NPI 1457934895ActiveOrganization· Internal Medicine· Tulsa, OK
Internal Medicine in Tulsa, Oklahoma, registered in NPPES in May 2021. The authorized official on file is Lisa Lucas, Chief Administrative Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457934895 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 3, 2021 |
| Last updated in NPPES | Apr 5, 2023 |
| Certified by provider | Apr 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
| Internal Medicine, Geriatric Medicine | 207RG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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