Individual provider Active NPI

Galina Bogdan Michka, ARNP

  • Adult Health Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1093092223
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
M0308484 Issued in OK
Practice address
700 N Greenwood Ave
Tulsa, OK 74106-0702
Phone
(918) 594-8920
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X M0308484 OK Primary

Addresses

Primary practice location

700 N Greenwood Ave
Tulsa, OK 74106-0702

Mailing address

2345 Southwest Blvd
Tulsa, OK 74107-2705

Other practice location 1

10506 S Memorial Dr
Tulsa, OK 74133-6914
Phone (918) 943-1050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000569 OK Practitioner - Nurse Practitioner 0345407771 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
M0308484OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Mar 30, 2020 Accepting new patients
St. John Physicians, Inc. Current Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Jan 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

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

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093092223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741072705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N GREENWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741060702",
            "telephone_number": "918-594-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10506 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336914",
            "country_code": "US",
            "telephone_number": "918-943-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHKA",
        "first_name": "GALINA",
        "middle_name": "BOGDAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "M0308484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.