Active NPI
Sandra Ivette Hershberger, DO
- Student in an Organized Health Care Education/Training Program
- Tulsa, OK
National Provider Identifier
1366138604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 7501 Riverside Pkwy
Tulsa, OK 74136-5056 - Phone
- (918) 710-4200
- Fax
- (918) 403-6331
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1003918830
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc. | Past | Accepting new patients | |
| St John Urgent Care Clinics Inc | Past | Accepting new patients |
Interoperability endpoints
- sandra.vargas.ortega.1@20767.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7501 Riverside Pkwy
Tulsa, OK 74136-5056
Mailing address
7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone (918) 710-4200
Other names 1
NPPES NPI Registry- Dr. Sandra Ivette Vargas Ortega
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2024.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1366138604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 RIVERSIDE PKWY",
"city": "TULSA",
"state": "OK",
"postal_code": "741365056",
"telephone_number": "918-710-4200",
"fax_number": "918-403-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 RIVERSIDE PKWY",
"city": "TULSA",
"state": "OK",
"postal_code": "741365056",
"telephone_number": "918-710-4200",
"fax_number": "918-403-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHBERGER",
"first_name": "SANDRA",
"middle_name": "IVETTE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-11",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "VARGAS ORTEGA",
"middle_name": "IVETTE",
"prefix": "DR.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 24, 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.