Individual provider Active NPI

Chelsey Diane Griffin, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1437359288
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4639 Issued in OK
Practice address
4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700
Phone
(918) 392-3444
Fax
(918) 392-3472
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4639 OK Primary

Addresses

Primary practice location

4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700

Mailing address

4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700
Phone (918) 392-3444

Other identifiers 1

IdentifierTypeStateIssuer
200204880AMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100726000347 OK Practitioner - Family Practice 7719019884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osumc Professional Services LLCGroup PAC ID 9234254012, 21 clinicians

Practice addresses (Care Compare)

9645 Riverside Pkwy
Suite C
Tulsa, OK 74137-7427
Phone (918) 209-5170

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4639OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osumc Professional Services LLC Family Medicine CurrentSince Nov 30, 2017 Accepting new patients

Locations

9645 Riverside Pkwy
Ste C
Tulsa, OK 74137
Phone (918) 209-5170

Dept 2732
Tulsa, OK 74182

4415 S Harvard Ave
Ste 125
Tulsa, OK 74135
Phone (918) 508-7601

9101 S Toledo Ave
Ste B
Tulsa, OK 74137
Phone (539) 664-4448

Interoperability endpoints

  • Direct secure messaging: cgriffin211375@direct.saintfrancis.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1437359288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741359700",
            "telephone_number": "918-392-3444",
            "fax_number": "918-392-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741359700",
            "telephone_number": "918-392-3444",
            "fax_number": "918-392-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "CHELSEY",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200204880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.