NPIMap

Individual provider Active NPI

George Shaker Cohlmia Jr., M.D.

  • Specialist
  • Tahlequah, OK
National Provider Identifier
1124061551
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15023 Issued in OK
Practice address
1373 E Boone St
Suite 3400
Tahlequah, OK 74464-3364
Phone
(918) 456-9500
Fax
(918) 456-9569
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15023 OK Primary

Addresses

Primary practice location

1373 E Boone St
Suite 3400
Tahlequah, OK 74464-3364

Mailing address

2448 E 81St St
Suite 5100
Tulsa, OK 74137-4248
Phone (918) 584-2500

Other identifiers 1

IdentifierTypeStateIssuer
100197620AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091202000256 OK Practitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 6709831431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Kansas Medical College, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Surgical Specialists CorpGroup PAC ID 0547215279, 3 clinicians

Practice addresses (Care Compare)

1373 E Boone St
Suite 3400
Tahlequah, OK 74464-3330
Phone (918) 456-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.14 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)97
Removal of tissue26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15023OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Surgical Specialists Corp Specialist CurrentSince Nov 15, 1993 Accepting new patients
Northeastern Health System Past Accepting new patients
George S. Cohlmia Specialist Past Accepting new patients
Soaak Clinics LLC PastSince Jul 21, 2024 Accepting new patients
Northeastern Health System Past Accepting new patients

Locations

1373 E Boone St
Ste 3400
Tahlequah, OK 74464
Phone (918) 456-9500

2448 E 81st St
Ste 5100
Tulsa, OK 74137
Phone (918) 584-2500

2448 E 81st St
Ste 4525
Tulsa, OK 74137
Phone (918) 584-2500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/

Organizations & group practices 5

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 7

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1124061551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "address_2": "SUITE 5100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374248",
            "telephone_number": "918-584-2500",
            "fax_number": "918-584-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E BOONE ST",
            "address_2": "SUITE 3400",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643364",
            "telephone_number": "918-456-9500",
            "fax_number": "918-456-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHLMIA",
        "first_name": "GEORGE",
        "middle_name": "SHAKER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "15023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100197620A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.