MEDICARE: MRS. TIFFANIE AMANDA AIKEN MD

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	47001	OK
2	207LP3000X	Pediatric Anesthesiology Physician	47001	OK

General Provider Information

NPI Number	:	1588123665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIFFANIE AMANDA AIKEN MD

Provider Business Mailing Address
First Line	:	700 NE 13TH ST # 38
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5004
Country	:	US
Telephone Number	:	405-764-8066
Fax Number	:	405-271-1001

Provider Business Practice Location Address
First Line	:	920 STANTON L YOUNG BLVD STE 1140
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5036
Country	:	US
Telephone Number	:	405-271-4351
Fax Number	:	405-271-8665

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	03/13/2026

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