Active NPI
Stephen C. Dobratz, M.D.
- Interventional Cardiology Physician
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- E-11638
- Practice address
- 2205 W Main St
Russellville, AR 72801-2759 - Phone
- (479) 968-4311
- Fax
- (479) 968-4399
- NPI assigned
- May 23, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 19731 | OK | |
| Interventional Cardiology Physician | 207RI0011X | 19731 | OK | |
| Interventional Cardiology Physician | 207RI0011X | E-11638 | AR | Primary |
Addresses
Primary practice location
2205 W Main St
Russellville, AR 72801-2759
Mailing address
2205 W Main St
Russellville, AR 72801-2759
Phone (479) 968-2345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100031210A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Eastern Virginia Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
1001 S 41St St E
Three Rivers Health Center
Muskogee, OK 74403-6253
Phone (918) 687-0201
101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000
1020 Lenape Dr
Nowata, OK 74048-4403
Phone (918) 273-0192
1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641
27371 S 4410 Rd
Vinita, OK 74301-7953
Phone (918) 256-4800
859 E Melton Dr
Sam Hider Health Center
Jay, OK 74346-0001
Phone (918) 253-4271
900 N Owen Walters Boulevard
A Mo Health Center
Salina, OK 74365-5003
Phone (918) 434-8500
Hospital & facility affiliations
- Cherokee Nation W W Hastings Indian Hospital
- Northeastern Health System
- Hillcrest Hospital Claremore
- Saint Francis Hospital, Inc
- Hillcrest Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 33 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Ahs Oklahoma Heart LLC | Current | Accepting new patients | |
| Tahlequah Medical Group LLC | Past | Accepting new patients | |
| Northeastern Health System | Past | Accepting new patients | |
| Integris Cardiovascular Physicians LLC | Cardiovascular Disease | Past | Accepting new patients |
| South Tulsa Medical Group LLC | Past | Accepting new patients | |
| Center for Cardiovascular Medicine | Cardiovascular Disease | Past | Accepting new patients |
| St Marys Physician Services, LLC | Interventional Cardiology | Past | Accepting new patients |
Locations
101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
Muskogee, OK 74403
Phone (918) 687-0201
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
395200 W 2900 Rd
Ochelata, OK 74051
Phone (918) 535-6000
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
821 Amohi Ln
Salina, OK 74365
Phone (918) 434-8500
301 S J T Stites St
Sallisaw, OK 74955
Phone (918) 774-1400
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
1373 E Boone St
Ste 3400
Tahlequah, OK 74464
Phone (918) 456-9500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820
Dept 1218
Tulsa, OK 74182
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- sdobratz112786@ahs.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
Organizations & group practices 17
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.
-
- Emergency Medicine Physician
- Tahlequah, OK
- NPI 1457574170
-
- Specialist
- Tulsa, OK
- NPI 1780857540
-
- Cardiovascular Disease Physician
- Tulsa, OK
- NPI 1801819024
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Jay, OK
- NPI 1659388965
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
-
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
-
- Rehabilitation Hospital Unit
- Tahlequah, OK
- NPI 1528122371
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1023011194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012759",
"telephone_number": "479-968-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012759",
"telephone_number": "479-968-4311",
"fax_number": "479-968-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRATZ",
"first_name": "STEPHEN",
"middle_name": "C.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OK",
"license": "19731",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OK",
"license": "19731",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AR",
"license": "E-11638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100031210A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.