Active NPI
Anna Wanahita, MD
- Vascular Neurology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 25436
- Practice address
- 2626 E 35TH St
Tulsa, OK 74105 - Phone
- (918) 978-0543
- NPI assigned
- Jan 31, 2007
- Last updated
- Jan 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | R1068 | KY | |
| Vascular Neurology Physician | 2084V0102X | 25436 | OK | Primary |
Addresses
Primary practice location
2626 E 35TH St
Tulsa, OK 74105
Mailing address
2626 E 35TH St
Tulsa, OK 74105-2823
Phone (918) 978-0543
Other practice location 1
2626 E 35th St
Tulsa, OK 74105
Phone (918) 978-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200108970A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, AR, NE, IA, IN, KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-6406
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393
328 N 2ND St
Vincennes, IN 47591-1351
Phone (812) 882-3312
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1068 | KY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saunders Medical Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| St. John Physicians, Inc | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Bryan Hospital Kearney | Neurology | Current | Accepting new patients |
| Brodstone Memorial Hospital | Neurology | Current | Accepting new patients |
| Osage Nation Si-Si a-Pe-Txa | Current | Accepting new patients | |
| Community Memorial Hospital District | Current | Accepting new patients | |
| Howard County Medical Center | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Grand Island Regional Medical Center | Current | Accepting new patients | |
| Howard County Medical Center | Current | Accepting new patients | |
| Cedar County Memorial Hospital | Current | Accepting new patients | |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Community Memorial Hospital District | Current | Accepting new patients | |
| St. John Physicians, Inc. | Neurology | Current | Accepting new patients |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Phillips County Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Phillips County Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Saunders Medical Center | Current | Accepting new patients | |
| Bryan Medical Center | Neurology | Current | Accepting new patients |
| Cherry County Hospital | Neurology | Current | Accepting new patients |
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| Cedar County Memorial Hospital | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| Bryan Medical Center | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Phillips County Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Physician Services, Inc | Current | Accepting new patients | |
| Community Memorial Hospital District | Current | Accepting new patients | |
| Cedar County Memorial Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Saunders Medical Center | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Healthfirst Physicians Management Services, Inc | Current | Accepting new patients | |
| Brodstone Memorial Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Jennie Edmundson Memorial Hospital | Current | Accepting new patients | |
| Cedar County Memorial Hospital | Past | Accepting new patients | |
| Grand Island Regional Medical Center | Past | Accepting new patients | |
| Butler County Health Care Center | Past | Accepting new patients |
Locations (25 of 41)
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
328 N 2nd St
Vincennes, IN 47591
Phone (812) 882-3312
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1150 State St
Phillipsburg, KS 67661
Phone (785) 543-5226
1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511
372 S 9th St
David City, NE 68632
Phone (402) 367-1200
3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
7121 Stephanie Ln
Ste 100
Lincoln, NE 68516
Phone (402) 420-3500
1113 Sherman St
Saint Paul, NE 68873
Phone (308) 754-4421
2731 Healthcare Dr
Syracuse, NE 68446
Phone (402) 269-2011
510 N Green St
Valentine, NE 69201
Phone (402) 376-3770
1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191
1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551
40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827
1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
Interoperability endpoints
- awanahita17536@muscogeecreeknation.direct-ci.com
- awanahita192016@ahs.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/06e9d567-9657-447f-97fb-d967654387e7/
- https://fhir-myrecord.cerner.com/r4/88f6f0ad-680b-460f-ba7c-9dd496dece04/
Organizations & group practices 50
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 Creek Nation Community Hospital
- Family Medicine Physician
- Okemah, OK
- NPI 1467053173
TX
-
- Hospitalist Physician
- Oklahoma City, OK
- NPI 1891962460
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
dba Creek Nation Health System
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
dba McCurtain Memorial Hospital
- Rural Acute Care Hospital
- Idabel, OK
- NPI 1629020177
-
dba Wah-Zha-Zhe Health Center
- Federally Qualified Health Center (FQHC)
- Pawhuska, OK
- NPI 1093402349
TX
-
- Medical Specialty Clinic/Center
- Anadarko, OK
- NPI 1538825120
-
dba Rural Wellness Fairfax Hospital
- Critical Access Hospital
- Fairfax, OK
- NPI 1295362564
-
dba Brodstone Family Medical Center - Superior
- Rural Health Clinic/Center
- Superior, NE
- NPI 1073590626
Neurology, OK
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
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
dba SSM Health Pharmacy
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
Hospital
-
dba SSM Health St. Anthony Hospital - Oklahoma City
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
dba Methodist Jennie Edmundson
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1457448755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1073650537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 E 35TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741052823",
"telephone_number": "918-978-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 E 35TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "74105",
"telephone_number": "918-978-0543"
}
],
"practiceLocations": [
{
"address_1": "2626 E 35th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74105",
"country_code": "US",
"telephone_number": "918-978-0543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANAHITA",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "R1068",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "OK",
"license": "25436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200108970A",
"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 Jan 28, 2019; 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.