Michelle Marie McElroy, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

5017 Issued in OK

Practice address

715 W Main St Ste K
Jenks, OK 74037-4674

Phone

(602) 361-6078

Fax

(405) 838-1879

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OK

  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406

  Obstetrics & Gynecology

  NPD (past)
• Carondelet Physician Services, Inc.

  • Family Medicine Physician
  • Grain Valley, MO
  • NPI 1699040006
  NPD (past)
• Fifth Avenue Gynecologists LTD

  • Specialist
  • Phoenix, AZ
  • NPI 1508997719
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1306847264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15404 E 87TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554674",
            "telephone_number": "602-361-6078",
            "fax_number": "405-838-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST STE K",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374674",
            "telephone_number": "602-361-6078",
            "fax_number": "405-838-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OK",
            "license": "5017",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "5017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia McAlvain
• Ve'Shawn McCracken
• Baley McCully
• Micha McCumber, OTR/L
• Jewell Ann McDonald
• Teressa J McHenry, MD
• William Graham McIntyre, DPT
• Taja McKesson
• Natalie Lyn McLain, CCC-SLP
• Abby Rae McNeely, OTR/L

• Gynecology Physician in Jenks, OK
• Providers in Jenks, OK by specialty
• Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.