Individual provider Active NPI

Kathryn C Brown, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Tulsa, OK
National Provider Identifier
1447299151
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
25938 Issued in OK
Practice address
9311 S Mingo Rd
Tulsa, OK 74133-5702
Phone
(918) 307-1613
Fax
(918) 307-2454
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 25938 OK Primary

Addresses

Primary practice location

9311 S Mingo Rd
Tulsa, OK 74133-5702

Mailing address

9311 S Mingo Rd
Tulsa, OK 74133-5702
Phone (918) 307-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071018000874 OK Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6406745165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Clinic of Tulsa, Inc. CurrentSince Oct 15, 2007 Accepting new patients
Ahs Oklahoma Physician Group LLC PastSince Oct 15, 2007 Accepting new patients
ENT and Allergy Associates LLP PastSince Oct 10, 2018 Accepting new patients

Locations

8510 N 123rd East Ave
Owasso, OK 74055
Phone (918) 272-1138

9311 S Mingo Rd
Tulsa, OK 74133
Phone (918) 307-1613

1727 S Utica Ave
Tulsa, OK 74104
Phone (918) 307-1613

6802 S Olympia Ave
Ste 150
Tulsa, OK 74132
Phone (918) 307-1613

Interoperability endpoints

  • Direct secure messaging: kathryn.brown@direct.stjohnhealthsystem.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1447299151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335702",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335702",
            "telephone_number": "918-307-1613",
            "fax_number": "918-307-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATHRYN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "OK",
            "license": "25938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.