Active NPI
Stanley Tallon Jr., APRN
- Acute Care Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 79573
- Practice address
- 1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041 - Phone
- (918) 579-5749
- Fax
- (918) 579-5762
- NPI assigned
- Sep 28, 2013
- Last updated
- Oct 25, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | CNP231290 | ME | |
| Acute Care Nurse Practitioner | 363LA2100X | 79573 | OK | Primary |
Addresses
Primary practice location
1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041
Mailing address
1145 S Utica Ave Ste 460
Tulsa, OK 74104-4041
Phone (918) 579-5749
Other practice location 1
1 Medical Center Dr
Biddeford, ME 04005-9422
Phone (207) 661-2018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 283-7000
10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655
Phone (918) 579-2300
111 N Bailey St
Pryor, OK 74361-4201
Phone (918) 825-1600
1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-1000
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
200 2ND Ave SW
Integris Brap Hospitalists GRP
Miami, OK 74354-6830
Phone (918) 542-6611
6901 S Olympia Ave
Tulsa Spine and Specialty Hospital
Tulsa, OK 74132-1843
Phone (918) 388-5701
8801 S 101St E Ave
Hillcrest Hospital South
Tulsa, OK 74133-5716
Phone (919) 294-4000
Hospital & facility affiliations
- Hillcrest Medical Center
- Hillcrest Hospital Claremore
- Hillcrest Hospital South
- Integris Health Ponca City
- Tulsa Spine & Specialty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.73 of 100
- Improvement activities
- 40
- Cost
- 67.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.31 of 100
- Improvement activities
- 20
- Cost
- 82.71
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.46 of 100
- Improvement activities
- 20
- Cost
- 68.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Tulsa Hospital Medicine Physicians Group, LLC | Current | Accepting new patients | |
| Post Acute Physicians, LLC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Oklahoma Infectious Disease Specialists, LLC | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Thi Specialists LLC | Current | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
1000 W Boise Cir
Fl 3
Broken Arrow, OK 74012
Phone (918) 682-6161
200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884
2440 E 81st St
Tulsa, OK 74137
Phone (918) 392-8856
Interoperability endpoints
- stallon119967@ahs.direct-ci.com
- stallon601981@direct.mmc.mainehealth.org
Organizations & group practices 9
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 INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1497417067
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1144982711
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Internal Medicine Physician
- Broken Arrow, OK
- NPI 1205588928
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1952763922
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
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 Integris Health Ponca City Hospital
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1033185293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1114354727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "741044041",
"telephone_number": "918-579-5749",
"fax_number": "918-579-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 S UTICA AVE STE 460",
"city": "TULSA",
"state": "OK",
"postal_code": "741044041",
"telephone_number": "918-579-5749",
"fax_number": "918-579-5762"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Biddeford",
"state": "ME",
"postal_code": "040059422",
"country_code": "US",
"telephone_number": "207-661-2018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLON",
"first_name": "STANLEY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-28",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "ME",
"license": "CNP231290",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "79573",
"primary": true
}
],
"identifiers": [],
"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 25, 2023; 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.