AHS OKLAHOMA PHYSICIAN GROUP, LLC


Address: 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015
Phone: 9185995739

AHS OKLAHOMA PHYSICIAN GROUP, LLC (NPI# 1538223987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538223987
Entity Type Organization
Organization Name AHS OKLAHOMA PHYSICIAN GROUP, LLC
Other Organization Name YVAN THOMAS, DO
Practice Address 802 S Jackson Ave
Suite 210
Tulsa
OK 74127-9015
Mailing Address 1145 S Utica Ave
Suite 110
Tulsa
OK 74104-4000
Practice Telephone 9185995739
Practice Fax Number 9185995740
Mailing Telephone 9185793825
Mailing Fax Number 9185791262
Enumeration Date 2006-12-20
Last Update Date 2020-08-22
Authorized Official Name ROBERT LANGLAND (CFO)
Authorized Official Telephone 9185791000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Yvan Thomas, DO Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 802 S JACKSON AVE
SUITE 210
City TULSA
State OK
Zip Code 74127-9015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972564169 Daniel A Nader Internal Medicine 802 S Jackson Ave, Tulsa, OK 74127-9015 2006-03-29
1346784683 Osu Cardiology Internal Medicine 802 S Jackson Ave, Suite 225, Tulsa, OK 74127-9015 2016-12-06
1629437546 Bret Colter Haines Surgery 802 S Jackson Ave, Suite 505, Tulsa, OK 74127-9015 2016-02-19
1902262421 Lp Dullye Management, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 802 S Jackson Ave, Suite 200, Tulsa, OK 74127-9015 2016-01-13
1922491935 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 2015-03-16
1144650854 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 2013-11-15
1467748467 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave, Suite 312, Tulsa, OK 74127-9015 2011-06-28
1548556541 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 2011-06-28
1790076222 Adam Derek Bradley Surgery 802 S Jackson Ave, #505, Tulsa, OK 74127-9015 2011-05-02
1013238872 Osu Center for Health Sciences Clinic/Center 802 S Jackson Ave, Suite 400, Tulsa, OK 74127-9015 2010-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366966699 Tarell Lynell Earl Case Manager/Care Coordinator 602 N. 28th W. Pl., Tulsa, OK 74127 2017-07-28
1023538014 Milton Dean IIi Counselor 1234 N Rosedale, Tulsa, OK 74127 2017-06-21
1740700988 Lisa Lee Ann Gilliland Case Manager/Care Coordinator 2001 W Ute Pl, Tulsa, OK 74127 2017-06-20
1114456498 Kevin Thomas Jackson Counselor 310 S 49th W Ave, Tulsa, OK 74127 2017-06-08
1427406180 Byron Conrad Dixon Jr. Case Manager/Care Coordinator 551 N. 28th W. Ave., Tulsa, OK 74127 2016-06-02
1548621568 Brandon Worth Student in an Organized Health Care Education/Training Program 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 2016-03-18
1073987467 Jo Lowe Social Worker 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 2015-11-23
1154718575 William Hughes Health Educator 3101 W Edison, Tulsa, OK 74127 2015-04-23
1801289665 Kristyn Janelle Zrenda Student in an Organized Health Care Education/Training Program 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 2015-03-17
1831595719 Mallory Yarbrough Counselor 3005 N 24th West Ave, Tulsa, OK 74127 2014-11-05
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992347355 Next Level Primary Care, Pllc Family Medicine 8905 E 34th St, Tulsa, OK 74145-3403 2019-10-16
1740751445 Ernest Kaara Maina Family Medicine 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 2018-12-07
1801373659 Hygiea Healthcare Solutions, Inc. Family Medicine 7220 E 41st St, Tulsa, OK 74145-4504 2018-07-24
1760970875 Antidote Medical Partners LLC Family Medicine 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 2018-04-24
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1992224349 Elite Family Medicine LLC Family Medicine 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 2017-09-18
1881114874 Care Driven Senior Care, Pllc Family Medicine 5821 E 46th St, Tulsa, OK 74135-6830 2017-06-21
1346779816 Herman Gonzalez Family Medicine 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 2017-06-08
1003343831 Robert Capehart Family Medicine 1110 E 18th St, Tulsa, OK 74120-7409 2017-05-11
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Competitor

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City TULSA
Zip Code 74127

Improve Information

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Dataset Information

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.

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