Healthcare Provider Details

I. General information

NPI: 1902543713
Provider Name (Legal Business Name): JAMES PATRICK HEARN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2022
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 S YALE AVE STE 601
TULSA OK
74136-8307
US

IV. Provider business mailing address

6565 S YALE AVE STE 601
TULSA OK
74136-8307
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-4636
  • Fax:
Mailing address:
  • Phone: 918-502-4636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number41599
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: