April Shea Bowling, MD
Individual provider Active NPI Pediatrics Physician · Tulsa, OK
NPI 1366472284 · NPPES record last updated Feb 20, 2013
Key facts
- NPI
- 1366472284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 21763 (OK)
- Practice address
- 4444 E 41St St
Tulsa, OK 74135-2527 - Phone
- (918) 619-4400
- Fax
- (918) 619-4334
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Oklahoma College of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
550 S Peoria Ave
Tulsa, OK 74120-3820
PO Box
Suite 1328
Glenpool, OK 74033
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- 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 |
|---|---|---|---|---|
| I20031215000239 | OK | Practitioner - Pediatric Medicine | 7719884253 | Reassigns benefits to 1 organization |
| I20260206000990 | TX | Practitioner - Pediatric Medicine | 7719884253 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21763 | OK | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Care Resource Center of Tulsa, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21763 | OK | Yes |
Addresses
Primary practice location
4444 E 41St St
Tulsa, OK 74135-2527
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 660-3632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100138370C | Medicaid | OK |
Other names
- April Shea Enlow
Other providers in Tulsa, OK
- Caden Reese Bowles
- Jeremy Michael Bowles
- Aaron Christopher Bowlin
- Jessica Maria Bowlin
- Brett Bowline
- Andrew Bowman
- Hartley Nicole Bowman
- Jaci Shey Bowman
- Jayne Alberta Bowman
- Thomas Dean Bowman
All providers in Tulsa, OK · Pediatrics 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 Feb 20, 2013. 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.