Unknown Individual – Surgery Physician, NPI 1568423267
Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6465, South Yale Avenue, Willow Creek, Tulsa, Tulsa County, Oklahoma, 74136, United States
SUITE 900
TULSA, OK 741367822
Phone: (918) 481-4800
Fax: (918) 481-4826
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| General Surgery | OK | |
| Colorectal Surgery (Proctology) | IN | |
| General Surgery, Osteopathic Manipulative Medicine | OK | |
| - | OK | |
| General Surgery | OK | |
| General Surgery | OK | |
| General Surgery | TX | |
| - | OK | |
| General Surgery | OK |
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