Individual provider Active NPI

Lyndon Drew Eldridge, DO

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1174501613
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
3946 Issued in OK
Practice address
4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229
Phone
(918) 728-6145
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3946 OK Primary

Addresses

Primary practice location

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229

Mailing address

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229
Phone (918) 728-6145

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
I20040301001164 OK Practitioner - Emergency Medicine 1355238767 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4436OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Emergency Services PC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 1, 2020 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 1, 2020 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Nov 15, 2016 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Oklahoma Heart Hospital, LLC Past Accepting new patients
Oklahoma Heart Hospital South LLC Past Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Lightstar Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients

Locations

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Interoperability endpoints

  • Direct secure messaging: leldridge23530@direct.okheart.com

Organizations & group practices 11

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174501613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD",
            "address_2": "STE 919",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465229",
            "telephone_number": "918-728-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD",
            "address_2": "STE 919",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465229",
            "telephone_number": "918-728-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "LYNDON",
        "middle_name": "DREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.