Wesley Keith Maples, M.D.
Individual provider Active NPI Internal Medicine Physician · Tulsa, OK
NPI 1013974757 · NPPES record last updated Mar 20, 2009
Key facts
- NPI
- 1013974757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 18600 (OK)
- Practice address
- 6901 S Olympia Ave
Tulsa, OK 74132-1843 - Phone
- (918) 296-8060
- Fax
- (918) 516-0445
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integris Ambulatory Care Corporation
Practice addresses (Care Compare)
1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321
Hospital & facility affiliations
- Integris Health Ponca City
- Saint Francis Hospital, Inc
- Integris Baptist Medical Center, Inc
- Stillwater Medical-Blackwell
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040312001244 | OK | Practitioner - Internal Medicine | 7911896394 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18600 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Hospital Medicine Physicians Group, LLC | Internal Medicine | Current |
Accepting new patients |
| Integris Ambulatory Care Corporation | Internal Medicine | Current |
Accepting new patients |
| Upper Extremity Orthopedic Specialists PLLC | Past |
Accepting new patients | |
| John M Cook M D Inc | Internal Medicine | Past | Accepting new patients |
| Integris Health Ponca City Hospital Inc | Past | Accepting new patients | |
| Tulsa Spine & Specialty Hospital | Past | Accepting new patients |
Locations
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5701
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
- wmaples133898@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18600 | OK | Yes |
Addresses
Primary practice location
6901 S Olympia Ave
Tulsa, OK 74132-1843
Mailing address
Dept 2521
Tulsa, OK 74182-0001
Phone (918) 296-8060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100184060A | Medicaid | OK |
Other providers in Tulsa, OK
- H Brad B Manuel
- Jerry Lee Manus
- Yevgeniya Manziuk
- Rui Mao
- Jennifer Maple
- Misti Mapp
- Muhammad Qasim Maqbool
- Aurora Mar
- Maranatha Home Health Inc
- Molly Roxanne Marano
All providers in Tulsa, OK · Internal Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.