Individual provider Active NPI

Stacy Lynn Noland, D.O.

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1447376223
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4219 Issued in OK
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

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1447376223OtherOKNPI

Other names 1

  • Miss Stacy Lynn Nelson Former name

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
I20070723000074 OK Practitioner - Obstetrics/Gynecology 1355442237 Reassigns benefits to 1 organization

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
Womens Health Group IncGroup PAC ID 0941284848, 7 clinicians

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 Hospital, Tulsa, OK, CCN 370210
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4219OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Group Inc Obstetrics & Gynecology CurrentSince Jul 16, 2007 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

  • Direct secure messaging: stacy.noland@direct.stjohnhealthsystem.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.