Active NPI
Charles Hayward Hill, M.D.
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1013979335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16484
- Practice address
- 5330 E 31St St Ste 800
Tulsa, OK 74135-5004 - Phone
- (918) 664-9000
- Fax
- (918) 664-9922
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 16484 | OK | |
| Psychiatry Physician | 2084P0800X | 16484 | OK | Primary |
Addresses
Primary practice location
5330 E 31St St Ste 800
Tulsa, OK 74135-5004
Mailing address
5330 E 31St St Ste 800
Tulsa, OK 74135-5004
Phone (918) 664-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095570A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16484 | OK | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Neurology | Current | Accepting new patients |
Locations
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 510
Tulsa, OK 74104
Phone (918) 744-3501
1923 S Utica Ave
Fl 4
Tulsa, OK 74104
Phone (918) 748-7650
Interoperability endpoints
- charles.hill@1082464103694340.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1013979335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 E 31ST ST STE 800",
"city": "TULSA",
"state": "OK",
"postal_code": "741355004",
"telephone_number": "918-664-9000",
"fax_number": "918-664-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 E 31ST ST STE 800",
"city": "TULSA",
"state": "OK",
"postal_code": "741355004",
"telephone_number": "918-664-9000",
"fax_number": "918-664-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "CHARLES",
"middle_name": "HAYWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "16484",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "16484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095570A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.