Individual provider Active NPI

Eric Brady Woolley, M.D.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1043231749
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25022 Issued in OK
Practice address
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone
(918) 949-1884
NPI assigned
Jul 21, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25022 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Tulsa, OK 74104-4012

Mailing address

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 949-1884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, KS, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20061129000100 TX Practitioner - Emergency Medicine 5092713008 Reassigns benefits to 1 organization
I20070212000693 OK Practitioner - Emergency Medicine 5092713008 Reassigns benefits to 5 organizations
I20150210002390 KS Practitioner - Emergency Medicine 5092713008 Reassigns benefits to 1 organization
I20190619002196 MO Practitioner - Emergency Medicine 5092713008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25022OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
St. John Physicians, Inc CurrentSince Jan 1, 2012 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jun 10, 2019 Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Jun 1, 2022 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
St. John Physicians, Inc. Emergency Medicine CurrentSince Jan 1, 2012 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 14, 2023 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jun 1, 2022 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jun 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Sep 1, 2006 Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Bailey Medical Center, LLC Past Accepting new patients
Leflore County Hospital Authority Past Accepting new patients
Mercy Hospital Fort Smith PastSince Jun 1, 2020 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: eric.woolley@direct.stjohnhealthsystem.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1043231749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-949-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-949-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "ERIC",
        "middle_name": "BRADY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "25022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.