Active NPI
Lisa Gay King, MD
- Internal Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19042
- Practice address
- 9001 S 101St East Ave
Suite 230
Tulsa, OK 74133-5708 - Phone
- (918) 392-5411
- Fax
- (918) 392-5416
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19042 | OK | Primary |
Addresses
Primary practice location
9001 S 101St East Ave
Suite 230
Tulsa, OK 74133-5708
Mailing address
9001 S 101St East Ave
Suite 230
Tulsa, OK 74133-5708
Phone (918) 392-5411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100119280A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Oklahoma College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1305 E Taft Ave
Sapulpa, OK 74066-6033
Phone (918) 574-0300
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
8803 S 101St E Ave
Suite 165
Tulsa, OK 74133-5750
Phone (918) 459-8824
9001 S 101St E Ave
Tulsa, OK 74133-5796
9001 S 101St E Ave
Suite 230
Tulsa, OK 74133-5797
Phone (918) 392-5470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19042 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients |
Locations
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1100
Tulsa, OK 74182
9001 S 101st East Ave
Ste 230
Tulsa, OK 74133
Phone (918) 392-5411
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
9001 S 101st East Ave
Ste 300
Tulsa, OK 74133
Phone (918) 392-5424
1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
9001 S 101st East Ave
Ste 270
Tulsa, OK 74133
Phone (918) 392-5470
Dept 1206
Tulsa, OK 74182
8803 S 101st East Ave
Ste 320
Tulsa, OK 74133
Phone (918) 250-7625
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- lking113251@ahs.direct-ci.com
Organizations & group practices 2
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.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Internal Medicine
-
dba Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
dba Enhabit Home Health of Northeast Oklahoma
- Home Health Agency
- Broken Arrow, OK
- NPI 1407836760
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1073545885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "SUITE 230",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-392-5411",
"fax_number": "918-392-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "SUITE 230",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-392-5411",
"fax_number": "918-392-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "LISA",
"middle_name": "GAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "19042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100119280A",
"state": "OK"
}
],
"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 Oct 9, 2015; 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.