Individual provider Active NPI

Terrence Lee Lakin, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1083682140
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33749 Issued in CO
Practice address
7134 S Yale Ave Ste 430
Tulsa, OK 74136-6351
Phone
(918) 600-2243
Fax
(918) 425-8800
NPI assigned
Mar 14, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 6295 OK
Family Medicine Physician 207Q00000X 33749 CO Primary

Addresses

Primary practice location

7134 S Yale Ave Ste 430
Tulsa, OK 74136-6351

Mailing address

4713 N Portwest Cir
Wichita, KS 67204-2356
Phone (443) 851-3130

Other practice location 1

740 Signal Ridge Dr
Edmond, OK 73013-3675
Phone (405) 418-0125

Other names 1

  • Terry Lakin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33749COMDFamily Medicine Physician
6295OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc CurrentSince May 27, 2022 Accepting new patients
Southern Plains Medical Center Inc CurrentSince May 27, 2022 Accepting new patients
Southern Plains Medical Center Inc Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937

Organizations & group practices 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1083682140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 N PORTWEST CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672042356",
            "telephone_number": "443-851-3130",
            "fax_number": "443-214-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE STE 430",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366351",
            "telephone_number": "918-600-2243",
            "fax_number": "918-425-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Signal Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133675",
            "country_code": "US",
            "telephone_number": "405-418-0125",
            "fax_number": "405-216-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKIN",
        "first_name": "TERRENCE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "6295",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "33749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "LAKIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.