Individual provider Active NPI

Brad Wayne Stahlheber, D.O.

  • Anesthesiology Physician
  • Muskogee, OK
National Provider Identifier
1104085711
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4334 Issued in OK
Practice address
2900 N Main St
Muskogee, OK 74401-4078
Phone
(918) 687-7777
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4334 OK Primary

Addresses

Primary practice location

2900 N Main St
Muskogee, OK 74401-4078

Mailing address

2900 N Main St
Muskogee, OK 74401-4078
Phone (918) 687-7777

Other identifiers 1

IdentifierTypeStateIssuer
200218240AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000027 OK Practitioner - Anesthesiology 9436217619 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utb Anesthesia PLLCGroup PAC ID 0547448524, 23 clinicians
Anesthesia Associates of Tulsa PLLCGroup PAC ID 8527354166, 7 clinicians

Practice addresses (Care Compare)

744 W 9TH St
Tulsa, OK 74127-9907
Phone (918) 599-1000

8131 S Memorial Dr
Suite 107
Tulsa, OK 74133-4348
Phone (918) 252-5114

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4334OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Tulsa, PLLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Jul 1, 2012 Accepting new patients
Pmo Medical PLLC CurrentSince Jun 14, 2023 Accepting new patients
Pmo Medical PLLC CurrentSince Jun 14, 2023 Accepting new patients
Jeffrey L. Halford, DO, PLLC Current Accepting new patients
Guardian Anesthesia Services, PC Anesthesiology Past Accepting new patients

Locations

1751 N Aspen Ave
Broken Arrow, OK 74012
Phone (561) 420-4453

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

2900 N Main St
Muskogee, OK 74401
Phone (918) 300-1320

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

8131 S Memorial Dr
Ste 107
Tulsa, OK 74133
Phone (918) 252-5114

1844 E 15th St
Tulsa, OK 74104
Phone (918) 727-7246

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1104085711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014078",
            "telephone_number": "918-687-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MAIN ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014078",
            "telephone_number": "918-687-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLHEBER",
        "first_name": "BRAD",
        "middle_name": "WAYNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200218240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.