NPI 1235182775 · live from the CMS NPI Registry
Ahs Oklahoma Physician Group LLC
Family Medicine in Tulsa, OK. National Provider Identifier 1235182775, active.
NPI record
| NPI | 1235182775 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1120 S Utica Ave Ste 100, Tulsa, OK 74104 |
| Practice phone | 918-579-3826 |
| Mailing address | 340 Seven Springs Way Ste 100, Brentwood, TN 37027 |
| Enumerated | May 17, 2006 |
| Last updated | April 6, 2026 |
| Authorized official | Stephen Petrovich, Evp General Counsel |
| Other names | Utica Park Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery | 208600000X | — |
| Urology | 208800000X | — |
| Nurse Practitioner | 363L00000X | — |
| Neurological Surgery | 207T00000X | — |
| Internal Medicine | 207R00000X | — |
| Physician Assistant | 363A00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Otolaryngology | 207Y00000X | — |
| Pediatrics, Pediatric Nephrology | 2080P0210X | — |
| Pediatrics | 208000000X | — |
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.