Ahs Oklahoma Physician Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AHS OKLAHOMA PHYSICIAN GROUP LLC

Doing business as

Utica Park Clinic

Practice address

1120 S Utica Ave Ste 100
Tulsa, OK 74104-4012

Phone

(918) 579-3826

Fax

(918) 579-1262

NPI assigned

May 18, 2006

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen C. Petrovich

Title

Evp General Counsel

Phone

(615) 296-3594

Specialties & licenses 15

Addresses

Other identifiers 1

Other names 1

• Utica Park Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ahs Oklahoma Physician Group, LLC

  dba Cushing Medical Specialist

  • Rural Health Clinic/Center
  • Cushing, OK
  • NPI 1922683051

  9436122496

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Ahs Oklahoma Physician

Locations (25 of 79)

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Practitioners 681

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Michele Adams, D.O.

  • Family Medicine Physician
  • Glenpool, OK
  • NPI 1578674503
  Medicare reassignment Care Compare group NPD
• Raad Al Awamleh, MD

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1770220774
  Medicare reassignment Care Compare group NPD
• Starla M Allen, D.O.

  • Family Medicine Physician
  • Fairfax, OK
  • NPI 1992071179
  Medicare reassignment Care Compare group NPD
• Blake L Anderson, MD PHD

  • Otolaryngology Physician
  • Tulsa, OK
  • NPI 1962499574
  Medicare reassignment Care Compare group NPD
• Kelli Ann Anderson, APRN, CNP

  • Adult Health Nurse Practitioner
  • Tulsa, OK
  • NPI 1447924980
  Medicare reassignment Care Compare group NPD
• Sarah Andrews, D.O.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1912228149
  Medicare reassignment Care Compare group NPD
• Eric Arnett

  • Family Nurse Practitioner
  • Owasso, OK
  • NPI 1205235363
  Medicare reassignment Care Compare group NPD
• Justin Thomas Atherton, MD

  • Surgery Physician
  • Tulsa, OK
  • NPI 1912935644
  Medicare reassignment Care Compare group NPD
• Veronica Avila, M.D.

  • Hospitalist Physician
  • Tulsa, OK
  • NPI 1316174964

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Heather Renee Ayers

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1669347456
  Medicare reassignment Care Compare group NPD
• Christin Baker-Hankton, DO

  • Family Medicine Physician
  • Bixby, OK
  • NPI 1154861607
  Medicare reassignment Care Compare group NPD
• Andrew Lott Barker, M.D.

  • Pain Medicine Physician
  • Tulsa, OK
  • NPI 1083858138
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1235182775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SEVEN SPRINGS WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275697",
            "telephone_number": "615-296-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-3826",
            "fax_number": "918-579-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS OKLAHOMA PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200044160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utica Park Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Utica Park Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahs Hillcrest Medical Center LLC (Hillcrest Medical Center)
• Ahs Hillcrest Medical Center LLC (Hillcrest Medical Center)
• Ahs Hillcrest Medical Center LLC (Hillcrest Medical Center)
• Ahs Hillcrest Medical Center, LLC (Hillcrest Medical Center)
• Ahs Oklahoma Heart LLC (Oklahoma Heart Institute)
• Ahs Oklahoma Physicians Group L.L.C.
• Ahs Southcrest Hospital, LLC (Hillcrest Hospital South)
• Ahs Southcrest Hospital, LLC (HIllcrest Hospital South)
• Ahs Tulsa Regional Medical Center (Oklahoma State University Medical Center)
• Ahs Tulsa Regional Medical Center LLC (Oklahoma State University Medical Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.