Active NPI
Laurie Linn Hamilton, D.O.
- Obstetrics & Gynecology Physician
- Tulsa, OK
National Provider Identifier
1053393553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3891
- Practice address
- 1334 N Lansing Ave
Tulsa, OK 74106-5907 - Phone
- (918) 587-2171
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO25177 | OR | |
| Obstetrics & Gynecology Physician | 207V00000X | 20A8886 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 3891 | OK | Primary |
Addresses
Primary practice location
1334 N Lansing Ave
Tulsa, OK 74106-5907
Mailing address
1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00412787 | Other | OR | TRAV RR PTAN NUMBER |
| R0000WFBTV | Other | OR | MEDICARE GROUP PIN NUMBER |
| 100211740A | Medicaid | OK | |
| 1407812365 | Other | OR | MEDICARE GROUP NPI NUMBER |
| 371803 | Other | OK | GROUP MEDICARE PTAN |
| CB3544 | Other | OR | TRAV RR GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8886 | CA | MD | Obstetrics & Gynecology Physician |
| DO25177 | OR | MD | Obstetrics & Gynecology Physician |
| 3891 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1053393553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 N LANSING AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741065907",
"telephone_number": "918-587-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 N LANSING AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741065907",
"telephone_number": "918-587-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "LAURIE",
"middle_name": "LINN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "DO25177",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A8886",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "3891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAV RR PTAN NUMBER",
"identifier": "P00412787",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN NUMBER",
"identifier": "R0000WFBTV",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100211740A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NPI NUMBER",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "371803",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAV RR GROUP NUMBER",
"identifier": "CB3544",
"state": "OR"
}
],
"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 Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.