Individual provider Active NPI

Chloe Backhaus-Vogt

  • Student in an Organized Health Care Education/Training Program
  • Tulsa, OK
National Provider Identifier
1154067387
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2100 S. Wheeling Ave
Tulsa, OK 74104
Phone
(918) 744-2345
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2100 S. Wheeling Ave
Tulsa, OK 74104

Mailing address

8512 S Florence Ave
Tulsa, OK 74137-1453

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Citrix Direct
CONNECT URL Citrix

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726003337 OK Practitioner - Anesthesiology Assistant 0941682769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utb Anesthesia PLLCGroup PAC ID 0547448524, 23 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
37OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Oklahoma, PLLC CurrentSince Dec 29, 2022 Accepting new patients
Healogics Specialty Physicians of Oklahoma, PLLC PastSince May 16, 2022 Accepting new patients

Locations

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

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

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

Organizations & group practices 3

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1154067387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 S FLORENCE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S. WHEELING AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-744-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKHAUS-VOGT",
        "first_name": "CHLOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Citrix",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2100 S. Wheeling Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Citrix",
            "affiliation": "N",
            "address_1": "2100 S. Wheeling Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.