Trevor Dudark

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

8148 Issued in OK

Practice address

1111 W 17TH St
Tulsa, OK 74107-1886

Phone

(918) 582-1972

NPI assigned

May 24, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Services of Oklahoma PCGroup PAC ID 8123209012, 63 clinicians

South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians

Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
• Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236
• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094
• Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tdudark487761@direct-ehr-ssmhc.com

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.

• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment Care Compare group NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment Care Compare group NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment Care Compare group NPD
• Integris Miami Hospital

  • General Acute Care Hospital
  • Miami, OK
  • NPI 1114931342
  NPD (past)
• SSM Health Care of Oklahoma, Inc.

  dba SSM Health St. Anthony Hospital - Oklahoma City

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1366545311
  NPD (past)

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

• Integris Baptist Medical Center Inc

  dba INTEGRIS Decisions Mental Health and Addiction Recovery Programs

  • Psychiatric Hospital Unit
  • Oklahoma City, OK
  • NPI 1598837221
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  dba Integris Mental Health Center

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1659443372
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  dba Integris Health Baptist Medical Center

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1831103654
  Care Compare affiliation
• Integris Baptist Medical Center Inc

  dba Integris Mental Health Center Acute

  • Psychiatric Hospital Unit
  • Spencer, OK
  • NPI 1881760759
  Care Compare affiliation
• Integris Health Edmond, Inc

  dba INTEGRIS Health Edmond Hospital

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  Care Compare affiliation
• SSM Health Care of Oklahoma Inc

  dba SSM Health Pharmacy

  • Community/Retail Pharmacy
  • Oklahoma City, OK
  • NPI 1649602293

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc.

  dba SSM Health St. Anthony Hospital - Oklahoma City

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1366545311
  Care Compare affiliation

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1184299901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7867 S UNION AVE APT 1409",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "918-582-1972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W MacArthur St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748041743",
            "country_code": "US",
            "telephone_number": "405-273-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Parkview Drive",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "73036",
            "country_code": "US",
            "telephone_number": "405-262-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730963309",
            "country_code": "US",
            "telephone_number": "580-772-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Health Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996381",
            "country_code": "US",
            "telephone_number": "405-717-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Grove",
            "state": "OK",
            "postal_code": "743442907",
            "country_code": "US",
            "telephone_number": "918-786-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731122074",
            "country_code": "US",
            "telephone_number": "405-604-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 NW Expwy",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124418",
            "country_code": "US",
            "telephone_number": "405-949-3011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Green Ave",
            "address_purpose": "LOCATION",
            "city": "Purcell",
            "state": "OK",
            "postal_code": "730801642",
            "country_code": "US",
            "telephone_number": "405-527-6524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 S Rockwell Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731282222",
            "country_code": "US",
            "telephone_number": "405-951-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W Wrangler Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "748681917",
            "country_code": "US",
            "telephone_number": "432-758-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Parklawn Dr",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731104201",
            "country_code": "US",
            "telephone_number": "405-610-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 SE 15th St",
            "address_purpose": "LOCATION",
            "city": "Del City",
            "state": "OK",
            "postal_code": "731153918",
            "country_code": "US",
            "telephone_number": "405-500-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 17th St",
            "address_purpose": "LOCATION",
            "city": "Woodward",
            "state": "OK",
            "postal_code": "738012448",
            "country_code": "US",
            "telephone_number": "580-256-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9417 N Council Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731626228",
            "country_code": "US",
            "telephone_number": "405-550-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3391 S I 35 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603191",
            "country_code": "US",
            "telephone_number": "405-500-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 2nd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546830",
            "country_code": "US",
            "telephone_number": "918-542-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Integris Pkwy",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730348864",
            "country_code": "US",
            "telephone_number": "405-713-4565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDARK",
        "first_name": "TREVOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Kay Duck, LCSW
• Laurie Ann Duckett, DO
• Lisa Duckett, M.D.
• Aaron L Duckworth
• Shanice Duckworth
• Alexia Vonzell Dudley
• Andrea Bertalotto Dudley, OD
• Craig Stewart Dudley, D.D.S.
• Loralee Ann Dudley, APRN-CNP
• Patience Denise Dudley

• Emergency Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.

Verify at the official NPI Registry.