Individual provider Active NPI

Lawrence E Vark, D.O.

  • Family Medicine Physician
  • Coweta, OK
National Provider Identifier
1063445930
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2932 Issued in OK
Practice address
31870 E. Hwy 51
Coweta, OK 74429
Phone
(918) 279-3200
NPI assigned
Jul 7, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2932 OK Primary

Addresses

Primary practice location

31870 E. Hwy 51
Coweta, OK 74429

Mailing address

PO Box 400
Okmulgee, OK 74447-0400
Phone (918) 756-3334

Other identifiers 2

IdentifierTypeStateIssuer
000370179001OtherOKBC/BS
1202932MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060905000593 OK Practitioner - Family PracticePractitioner - Emergency Medicine 2567400674 Reassigns benefits to 1 organization
I20210420001260 TX Practitioner - Family Practice 2567400674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2932OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Family Medicine Current Accepting new patients
Creek Nation Hospital & Clinics Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 1, 2007 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Aug 1, 2007 Accepting new patients
Muscogee Creek Nation Family Medicine PastSince May 1, 1997 Accepting new patients

Locations

31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200

309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424

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

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

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

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

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: lvark17890@muscogeecreeknation.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Muscogee (Creek) Nation Medical CenterOkmulgee, OK, CCN 370057 Hospital Corporate Officer
W-2 Managing Employee (100%)
Jan 1, 2022
Dec 30, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063445930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744470400",
            "telephone_number": "918-756-3334",
            "fax_number": "918-752-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31870 E. HWY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "74429",
            "telephone_number": "918-279-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARK",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000370179001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202932",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coweta, OK

Sources for this page

Verify at the official NPI Registry.