Active NPI
Lori Jessica Whelan, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Tulsa, OK
National Provider Identifier
1487611919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 23535
- Practice address
- 6161 S Yale Ave
ER Dept
Tulsa, OK 74136-1902 - Phone
- (918) 494-1817
- Fax
- (405) 749-4561
- NPI assigned
- Apr 27, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 23535 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
ER Dept
Tulsa, OK 74136-1902
Mailing address
PO Box 22063
Dept 0491
Tulsa, OK 74121-2063
Phone (405) 751-4664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200013790A | Medicaid | OK | |
| P00121899 | Other | OK | RR MEDICARE |
Other names 1
- Lori Jessica Wylie
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.83 of 100
- Quality
- 81.24
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23535 | OK | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Country Emergency Physicians Group of Tulsa PLLC | Current | Accepting new patients | |
| Emergency Medicine Physicians of Tulsa County, LLC | Past | Accepting new patients | |
| Emergency Management Associates PC | Past | Accepting new patients | |
| Emergency Medicine Association of Pittsburgh | Past | Accepting new patients | |
| Brian Kent MD Inc PC | Past | Accepting new patients | |
| Ahs Hillcrest Medical Center, LLC | Past | Accepting new patients |
Locations
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
Organizations & group practices 6
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.
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- Plastic Surgery Physician
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-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1750360061
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1740276948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1487611919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22063",
"address_2": "DEPT 0491",
"city": "TULSA",
"state": "OK",
"postal_code": "741212063",
"telephone_number": "405-751-4664",
"fax_number": "405-749-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"address_2": "ER DEPT",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-494-1817",
"fax_number": "405-749-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "LORI",
"middle_name": "JESSICA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OK",
"license": "23535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200013790A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00121899",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "WYLIE",
"middle_name": "JESSICA",
"credential": "M.D.",
"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 Apr 24, 2008; 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.