Active NPI
Stephen Phillippe, MD
- Surgery Physician
- Tulsa, OK
National Provider Identifier
1255944021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39661
- Practice address
- 1802 East 19TH St.
Kravis Building
Tulsa, OK 74104-5403 - Phone
- (918) 634-7500
- NPI assigned
- Aug 31, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39661 | OK | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1802 East 19TH St.
Kravis Building
Tulsa, OK 74104-5403
Mailing address
1802 East 19TH St.
Kravis Building
Tulsa, OK 74104-5403
Phone (918) 634-7500
Other practice location 1
4444 E 41st St
Tulsa, OK 74135-2527
Phone (918) 619-4400
Other practice location 2
4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 634-7542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39661 | OK | MD | Surgery Physician |
Interoperability endpoints
- sphillippe1003400@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1255944021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 EAST 19TH ST.",
"address_2": "KRAVIS BUILDING",
"city": "TULSA",
"state": "OK",
"postal_code": "741045403",
"telephone_number": "918-634-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 EAST 19TH ST.",
"address_2": "KRAVIS BUILDING",
"city": "TULSA",
"state": "OK",
"postal_code": "741045403",
"telephone_number": "918-634-7500"
}
],
"practiceLocations": [
{
"address_1": "4444 E 41st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741352527",
"country_code": "US",
"telephone_number": "918-619-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4502 E 41st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741352536",
"country_code": "US",
"telephone_number": "918-634-7542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPPE",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-31",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "39661",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.