Stacy Philip, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38292 Issued in OK

Practice address

3138 S Garnett Rd
Tulsa, OK 74146-1933

Phone

(918) 203-7005

Fax

(918) 400-0967

NPI assigned

Apr 29, 2021

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, WI2 enrollments

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 2

Specialty

Family PracticeAlso: Emergency Medicine

Education

Texas Tech University Health Science Center School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Langlade Hospital Hospital, Antigo, WI, CCN 521350

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sphilip378785@direct.aspirus.org
• Direct secure messaging: stacy.philip.1@14254.direct.athenahealth.com

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.

• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Elcho, WI
  • NPI 1831251040

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Archwell Health Professional Services of Oklahoma, LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1457934895
  Medicare reassignment NPD
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406

  Emergency Medicine

  Medicare reassignment NPD
• Wagoner Hospital Authority

  • General Acute Care Hospital
  • Wagoner, OK
  • NPI 1386611580
  Medicare reassignment NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1003021452
  Medicare reassignment
• St. John Physicians, Inc

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD
• Wagoner Hospital Authority

  • Rural Health Clinic/Center
  • Wagoner, OK
  • NPI 1366674772
  NPD
• Aspirus Medical Group, Inc.

  • Urology Physician
  • Weston, WI
  • NPI 1083289946
  NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1669595294
  NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Rhinelander, WI
  • NPI 1679757751
  NPD
• Aspirus Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Wausau, WI
  • NPI 1942084199
  NPD
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Birnamwood, WI
  • NPI 1063574184

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin

  • Rural Health Clinic/Center
  • Antigo, WI
  • NPI 1821151366

  Hospital

  Care Compare affiliation
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

  • Critical Access Hospital
  • Antigo, WI
  • NPI 1639187412
  Care Compare affiliation

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1366025207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W CHEROKEE ST",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744674624",
            "telephone_number": "918-485-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741461933",
            "telephone_number": "918-203-7005",
            "fax_number": "918-400-0967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674624",
            "country_code": "US",
            "telephone_number": "918-485-5514",
            "fax_number": "918-485-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIP",
        "first_name": "STACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "38292",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "38292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Pherigo
• Philcare Medical Supplies Inc.
• Deepa Philip
• Jovita Grace Philip
• Karen Philip
• Timothy Philip
• Phillip a Black LLC
• Phillip L. Cook, O.D., P.C.
• Phillip Turnage Optical, Inc.
• Georgia Jean Phillip

• 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 May 23, 2025; 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.

Verify at the official NPI Registry.