Provider Demographics
NPI:1487862090
Name:SLEEP SERVICES OF AMERICA, INC.
Entity Type:Organization
Organization Name:SLEEP SERVICES OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:MATHIAS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:410-760-6990
Mailing Address - Street 1:8596 101ST STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7034
Mailing Address - Country:US
Mailing Address - Phone:918-369-9797
Mailing Address - Fax:918-369-7955
Practice Address - Street 1:8596 101ST STREET
Practice Address - Street 2:SUITE E
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-7034
Practice Address - Country:US
Practice Address - Phone:918-369-9797
Practice Address - Fax:918-369-7955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK134791332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1186230003Medicare NSC
MD1186230001Medicare ID - Type Unspecified