Tiffany Pauline Whipple, DO
Individual provider Active NPI Colon & Rectal Surgery Physician · Tulsa, OK
NPI 1306343322 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1306343322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- License
- 02007024A (IN)
- Practice address
- 1145 S Utica Ave Ste 701
Tulsa, OK 74104-4019 - Phone
- (918) 582-6544
- NPI assigned
- Apr 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Colorectal Surgery (Proctology)
- Education
- Oklahoma State University College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Oklahoma Physician Group LLC
Surgical Associates Inc
Practice addresses (Care Compare)
1145 S Utica Ave
Suite 701
Tulsa, OK 74104-4019
Phone (918) 582-6544
2448 E 81St St
Suite 1100
Tulsa, OK 74137-4205
Phone (918) 505-3400
Hospital & facility affiliations
- Community Home Health, Inc.
- Oklahoma Surgical Hospital, LLC
- Hillcrest Medical Center
- Ascension St John Medical Center
- Ascension St John Broken Arrow
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 58 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240912004397 | OK | Practitioner - Colorectal Surgery (Proctology) | 1052760154 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02007024A | IN | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current |
Accepting new patients | |
| Northeastern Health System | Current |
Accepting new patients | |
| Drumright Community Hospital LLC | Current |
Accepting new patients | |
| Drumright Community Hospital LLC | Current |
Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Surgical Associates, Inc. | Current |
Accepting new patients | |
| Oklahoma Surgical Hospital, LLC | Past | Accepting new patients |
Locations
610 W Bypass
Drumright, OK 74030
Phone (918) 382-2300
1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641
2448 E 81st St
Ste 1100
Tulsa, OK 74137
Phone (918) 505-3400
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/37d0fa6b-e0f7-4581-adbb-f9e2eac855e1/
- https://fhir-myrecord.cerner.com/r4/932b43fb-c766-413c-a343-640549d20cb3/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 02007024A | IN | Yes |
| Colon & Rectal Surgery Physician | 208C00000X | 6797 | OK |
Addresses
Primary practice location
1145 S Utica Ave Ste 701
Tulsa, OK 74104-4019
Mailing address
1145 S Utica Ave Ste 701
Tulsa, OK 74104-4019
Phone (918) 582-6544
Other names
- Pauli Whipple
Other providers in Tulsa, OK
- Todd Eugene Whetsel
- Nichelle Whidby
- Robin Linsey Whimple
- Christopher Ray Whipkey
- Jay Whipple
- Jeremy L Whisenhunt
- Kayleigh Diane Whisenhunt
- Kyzia Marie Whisenhunt
- Frances Whisman
- Crystal Rena Whisner
All providers in Tulsa, OK · Colon & Rectal Surgery Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.