Healthcare Provider Details

I. General information

NPI: 1861534406
Provider Name (Legal Business Name): STEPHEN A HOPKINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/31/2022
Certification Date: 08/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8325 NW EXPRESSWAY
OKLAHOMA CITY OK
73162
US

IV. Provider business mailing address

8325 NW EXPRESSWAY
OKLAHOMA CITY OK
73162-6006
US

V. Phone/Fax

Practice location:
  • Phone: 405-728-8000
  • Fax:
Mailing address:
  • Phone: 405-728-8000
  • Fax: 405-720-5837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number24615
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24615
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: