Kevin Dean Mikawa, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD470175 Issued in PA

Practice address

4300 W Memorial Rd
Oklahoma City, OK 73120

Phone

(405) 752-3962

Fax

(405) 752-3963

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Health Network Inc

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1427097435

  Hospitalist

  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1417929431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE STE 211",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-375-2070",
            "fax_number": "814-375-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-752-3962",
            "fax_number": "405-752-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Hospital Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011464",
            "country_code": "US",
            "telephone_number": "814-375-2070",
            "fax_number": "814-375-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKAWA",
        "first_name": "KEVIN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "22101",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "22101",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD470175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200027210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest City Therapy Inc
• Midwest Pulmonary and Sleep
• Fernando Mier Giraud, MD
• Kelsey Elizabeth Mignano, RBT
• Mircea Radu Mihu, MD
• Robin Michelle Mikel, D.O.
• Emily Ann Mikeman, MOTR/L
• Jenny Rebecca Mikes, MS RD LD
• Jennifer Amanda Milam, ARNP
• Jade Milavec, MD

• Neurology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.