Individual provider Active NPI

Steven Douglas Ortman Jr.

  • Primary Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1215529243
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F11200788 Issued in OK
Practice address
11912 S Norwood Ave Ste 110
Tulsa, OK 74137-5547
Phone
(918) 943-5303
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F11200788 OK Primary

Addresses

Primary practice location

11912 S Norwood Ave Ste 110
Tulsa, OK 74137-5547

Mailing address

4716 S Urbana Street
Broken Arrow, OK 74012-5997
Phone (918) 710-4112

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210809000312 OK Practitioner - Nurse Practitioner 3779987110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Pain SolutionsGroup PAC ID 2668620220, 13 clinicians

Practice addresses (Care Compare)

3905 S Hwy 97
Sand Springs, OK 74063-6670
Phone (918) 710-4112

4750 S Garnett Rd
Tulsa, OK 74146-5222
Phone (918) 710-4112

715 N Foreman St
Vinita, OK 74301-1422
Phone (918) 710-4112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11200788OKMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Pain Solutions CurrentSince Jul 19, 2021 Accepting new patients
Dermatology & Allergy Solutions LLC PastSince Aug 8, 2021 Accepting new patients

Locations

4716 W Urbana St
Ste 211
Broken Arrow, OK 74012
Phone (918) 994-5200

3401 W Broadway St
Muskogee, OK 74401
Phone (918) 687-5477

100 W 7th St
Okmulgee, OK 74447
Phone (918) 758-1930

3905 S State Highway 97
Ste A
Sand Springs, OK 74063

3905 S Highway 97
Sand Springs, OK 74063
Phone (918) 245-7500

7901 S Sheridan Rd
Tulsa, OK 74133

4750 S Garnett Rd
Tulsa, OK 74146
Phone (539) 812-2100

715 N Foreman St
Vinita, OK 74301
Phone (918) 256-8477

Organizations & group practices 2

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1215529243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 S URBANA STREET",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-710-4112",
            "fax_number": "918-710-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 S NORWOOD AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375547",
            "telephone_number": "918-943-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTMAN",
        "first_name": "STEVEN",
        "middle_name": "DOUGLAS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "F11200788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.