DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY PETTINGELL, M.D.

Deactivated Sole Proprietor

DR. TIMOTHY PETTINGELL, M.D. is a Pain Medicine (PM&R) healthcare provider located in TULSA, Oklahoma. NPI 1376546531 is deactivated in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · TULSA, OK

This NPI has been deactivated. The record was deactivated on March 15, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1376546531
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2005 (0.81095890410959 yrs)
Last Updated
May 29, 2012
Deactivated
Mar 15, 2006
License
20806 (OK)
Sole Proprietor
Yes

Practice Information

Address
4735 E 91ST ST
SUITE 100
TULSA, OK, 741372807
Browse OK providers · Browse ZIP 74137
Phone
9182527952
Fax
9182529218
Primary Specialty
Pain Medicine (PM&R)
2081P2900X

Other Pain Medicine (PM&R) Providers in TULSA, OK

Name Credential NPI
MR. ANIL KUMAR REDDY M.D. 1003981135
BRANDON SCOTT CLAFLIN DO 1376684167
DR. CHRISTOPHER R. MARTIN MD 1376727289
DR. LAM D. NGUYEN DO 1902082258
DR. KELLY JEAN VOLK DO 1538474648
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.