AHS OKLAHOMA PHYSICIAN GROUP, LLC (NPI# 1164586038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164586038 |
| Entity Type | Organization |
| Organization Name | AHS OKLAHOMA PHYSICIAN GROUP, LLC |
| Other Organization Name | GEETA SILAS, MD |
| Practice Address |
2617 S Elm Pl Broken Arrow OK 74012-7850 |
| Mailing Address |
1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 |
| Practice Telephone | 9184558545 |
| Practice Fax Number | 9184552521 |
| Mailing Telephone | 9185793825 |
| Mailing Fax Number | 9185791262 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT LANGLAND (CFO) |
| Authorized Official Telephone | 9185791000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Geeta Silas, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308248 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 2400 N Highway 66 Ste B, Catoosa, OK 74015-3074 | 2010-10-19 |
| 1538366083 | Ahs Oklahoma Physician Group, LLC | Internal Medicine | 9245 South Mingo, Tulsa, OK 74133 | 2007-06-28 |
| 1578760021 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 North 110th E. Ave., Owasso, OK 74055 | 2007-06-28 |
| 1982729620 | Ahs Oklahoma Physician Group, LLC | Psychiatry & Neurology | 720 W 7th St, Tulsa, OK 74127-8948 | 2007-03-20 |
| 1891850137 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 10512 N. 110th E. Ave., Owasso, OK 74055 | 2006-12-27 |
| 1588728836 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 1551 N. 9th Street, Broken Arrow, OK 74012 | 2006-12-21 |
| 1427112424 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 N 110th E Ave, Owasso, OK 74055 | 2006-12-21 |
| 1710041009 | Ahs Oklahoma Physician Group, LLC | Nurse Practitioner | 2401 West Main, Henryetta, OK 74437 | 2006-12-20 |
| 1235293846 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 300 Boulder St, Pawnee, OK 74058-3801 | 2006-12-20 |
| 1548324965 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 4739 S Union Ave, Tulsa, OK 74107-7842 | 2006-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AHS OKLAHOMA PHYSICIAN GROUP, LLC | 1145 S Utica Ave Ste 115, Tulsa, OK 74104-4013 |
| Street Address |
2617 S ELM PL |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-7850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311959 | Christopher Carroll Hunter | Emergency Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2005-10-24 |
| 1083250757 | Kyndal Renee' Stevens | Nurse Practitioner | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2019-11-18 |
| 1124532890 | Jamie Larie Kitchens | Nurse Practitioner | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2017-11-16 |
| 1538670690 | Kimberly A Smallwood | Nurse Practitioner | 2617 S Elm Pl, Broken Arrow, OK 74012 | 2017-10-17 |
| 1073741732 | Sujan Joshi | Family Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2009-07-01 |
| 1265677819 | Kristen A Battles | Family Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012 | 2008-12-11 |
| 1669621710 | Crystal Jones Hensley | Physician Assistant | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2008-09-13 |
| 1114107836 | Taniesha L Buffin | Obstetrics & Gynecology | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2007-11-09 |
| 1063576452 | Ahs Oklahoma Physician Group,llc | Pediatrics | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-12-20 |
| 1568560464 | Jack Milton Sommers | Family Medicine | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265879175 | Broken Arrow Pediatrics, LLC | Pediatrics | 1220 N Elm Pl, Broken Arrow, OK 74012-1616 | 2013-05-31 |
| 1922173475 | Elizabeth Anne Mccutcheon | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2006-11-21 |
| 1578500385 | Carl Erwin Pfanstiel | Pediatrics | 1220 N Elm Place, Broken Arrow, OK 74012 | 2006-06-01 |
| 1265052369 | Bright Future Pediatrics | Pediatrics | 817 S Elm Pl Ste 106, Broken Arrow, OK 74012-5369 | 2020-04-20 |
| 1245521889 | Lisa Diane Macek | Pediatrics | 2950 S Elm Pl, Suite 160, Broken Arrow, OK 74012-7877 | 2011-05-01 |
| 1063576452 | Ahs Oklahoma Physician Group,llc | Pediatrics | 2617 S Elm Pl, Broken Arrow, OK 74012-7850 | 2006-12-20 |
| 1861587289 | Nidhi Koul | Pediatrics | 2617 S. Elm Place, Broken Arrow, OK 74012-7850 | 2006-10-03 |
| 1174572838 | Suresh Bharani | Pediatrics | 3300 S Aspen Ave, Suite B, Broken Arrow, OK 74012-7501 | 2006-05-09 |
| 1770550980 | James Perry Ward | Pediatrics | 2950 S Elm Pl, Ste 430, Broken Arrow, OK 74012-7877 | 2006-03-07 |
| 1447237912 | Anne K Harrington | Pediatrics | 2950 S Elm Pl, Ste 430, Broken Arrow, OK 74012-7877 | 2005-12-27 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on AHS OKLAHOMA PHYSICIAN GROUP, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.