Organization Active NPI

Bobbi G. Fishinghawk, MD, PLLC

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1063166106
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BOBBI G. FISHINGHAWK, MD, PLLC
Practice address
8803 S 101St East Ave Ste 160
Tulsa, OK 74133-5745
Phone
(918) 294-4325
Fax
(918) 294-4349
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Bobbi G Fishinghawk, MD
Title
Sole Member
Phone
(913) 669-5546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8803 S 101St East Ave Ste 160
Tulsa, OK 74133-5745

Mailing address

79549 S 4720 Rd
Stilwell, OK 74960-5086
Phone (913) 669-5546

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1063166106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79549 S 4720 RD",
            "city": "STILWELL",
            "state": "OK",
            "postal_code": "749605086",
            "telephone_number": "913-669-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE STE 160",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335745",
            "telephone_number": "918-294-4325",
            "fax_number": "918-294-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBI G. FISHINGHAWK, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A",
        "authorized_official_last_name": "FISHINGHAWK",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "913-669-5546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.