Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Tulsa Medical Group

Organization Family Medicine Physician · NPI 1114336534

East Tulsa Medical Group is a Family Medicine Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014

Practice location Address checks out

11445 E 20th St
Tulsa, OK 74128-6421
Phone: (918) 437-6830
Fax: (918) 437-6171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1567 (OK)

Record details

NPI number1114336534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Barentine — Partner · (918) 437-6830
NPI enumeratedAugust 11, 2014
Last updated in NPPESAugust 11, 2014
Mailing address11445 E 20th St, Tulsa, OK 74128-6421

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