Active NPI
Stacy Lynn Noland, D.O.
- Obstetrics & Gynecology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4219
- Practice address
- 9001 S 101St East Ave
Suite 350
Tulsa, OK 74133-5708 - Phone
- (918) 293-6200
- Fax
- (918) 293-6246
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4219 | OK | Primary |
Addresses
Primary practice location
9001 S 101St East Ave
Suite 350
Tulsa, OK 74133-5708
Mailing address
9001 S 101St East Ave
Suite 350
Tulsa, OK 74133-5708
Phone (918) 293-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447376223 | Other | OK | NPI |
Other names 1
- Miss Stacy Lynn Nelson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Oklahoma State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9001 E 101St St
Suite 350
Tulsa, OK 74133-5798
9001 S 101St E Ave
Suite 350
Tulsa, OK 74133-5798
Hospital & facility affiliations
- Oklahoma Surgical Hospital, LLC
- Hillcrest Hospital South
- Saint Francis Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4219 | OK | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Health Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Ahs Southcrest Hospital, LLC | Past | Accepting new patients |
Locations
9001 S 101st East Ave
Ste 350
Tulsa, OK 74133
Phone (918) 293-6200
Interoperability endpoints
- stacy.noland@direct.stjohnhealthsystem.com
- snoland119956@ahs.direct-ci.com
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.
-
- Obstetrics & Gynecology Physician
- Tulsa, OK
- NPI 1407941149
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1447376223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "SUITE 350",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-293-6200",
"fax_number": "918-293-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "SUITE 350",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-293-6200",
"fax_number": "918-293-6246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAND",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "4219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1447376223",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "NELSON",
"middle_name": "LYNN",
"prefix": "MISS",
"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 May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.