DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AHS OKLAHOMA PHYSICIAN GROUP LLC

MEDICARE: AHS OKLAHOMA PHYSICIAN GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician
2208800000XUrology Physician
3363L00000XNurse Practitioner
4207T00000XNeurological Surgery Physician
5207R00000XInternal Medicine Physician
6363A00000XPhysician Assistant
7207X00000XOrthopaedic Surgery Physician
8207Y00000XOtolaryngology Physician
92080P0210XPediatric Nephrology Physician
10208000000XPediatrics Physician
112080P0006XDevelopmental - Behavioral Pediatrics Physician
122081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician
13207RI0200XInfectious Disease Physician
142084N0400XNeurology Physician
15207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235182775
Entity Type Code : Organization
Provider Name (Legal Business Name) : AHS OKLAHOMA PHYSICIAN GROUP LLC
Provider Business Mailing Address
First Line : 340 SEVEN SPRINGS WAY STE 100
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-5697
Country : US
Telephone Number : 615-296-3594
Fax Number :
Provider Business Practice Location Address
First Line : 1120 S UTICA AVE STE 100
Second Line :
City : TULSA
State : OK
Zip : 74104-4012
Country : US
Telephone Number : 918-579-3826
Fax Number : 918-579-1262
Authorized Official
Title or Position : EVP GENERAL COUNSEL
Name : STEPHEN C. PETROVICH
Credential :
Telephone Number : 615-296-3594
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/06/2026

Similar Medicare Providers

1043214497 — SHAWN D GRANT MD
Practice Location Address:
1120 S UTICA AVE
TULSA, OK
74104-4012
Practice Phone: 918-579-7720
Practice Fax:
1184629487 — DR. CRAIG ALLAN ANDERSON D.O.
Practice Location Address:
1120 S UTICA AVE , STE 2123
TULSA, OK
74104-4012
Practice Phone: 918-579-5402
Practice Fax:
1710975164 — DR. GUY W SNEED DO
Practice Location Address:
1120 S UTICA AVE
TULSA, OK
74104-4012
Practice Phone: 918-459-0175
Practice Fax: 918-459-0176
1629067962 — DIANE M HEATON MD
Practice Location Address:
1120 S UTICA AVE
TULSA, OK
74104-4012
Practice Phone: 918-774-2071
Practice Fax: 918-579-8204
1770574170 — DR. FRANK EDWARD RABE MD
Practice Location Address:
1120 S UTICA AVE
TULSA, OK
74104-4012
Practice Phone: 918-728-6194
Practice Fax: 918-664-2521
1922099118 — THOMAS JOSEPH BOXBERGER PA-C
Practice Location Address:
1120 S UTICA AVE
TULSA, OK
74104-4012
Practice Phone: 918-728-6194
Practice Fax: 918-664-2521

Directions to “AHS OKLAHOMA PHYSICIAN GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.