Active NPI
Sean Mark Krahenbuhl, D.O.
- Anesthesiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 6010
- Practice address
- 2123 S Atlanta PL Ste 200
Tulsa, OK 74114-1780 - Phone
- (918) 630-2665
- NPI assigned
- Apr 9, 2012
- Last updated
- Jan 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10042694 | TX | |
| Anesthesiology Physician | 207L00000X | Q4620 | TX | |
| Anesthesiology Physician | 207L00000X | 6010 | OK | Primary |
Addresses
Primary practice location
2123 S Atlanta PL Ste 200
Tulsa, OK 74114-1780
Mailing address
PO Box 4736
Tulsa, OK 74159-0736
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6010 | OK | MD | General Practice Dentistry |
| Q4620 | TX | MD | Anesthesiology Physician |
| BP10042694 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Oklahoma, PLLC | Anesthesiology | Current | Accepting new patients |
| SK Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| 918 Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Integral Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
Locations
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
2123 S Atlanta Pl
Ste 200
Tulsa, OK 74114
Phone (918) 630-2665
8222 E 103rd St
Ste 133
Tulsa, OK 74133
Phone (918) 921-8822
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1790490183
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1609587112
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1235495870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4736",
"city": "TULSA",
"state": "OK",
"postal_code": "741590736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 S ATLANTA PL STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741141780",
"telephone_number": "918-630-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAHENBUHL",
"first_name": "SEAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-09",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10042694",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q4620",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "6010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 20, 2023; 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.