Kip Weston Dorsey, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25838 Issued in OK

Practice address

1923 S Utica Ave
Tulsa, OK 74104-6520

Phone

(918) 744-3652

Fax

(918) 744-3651

NPI assigned

Jun 28, 2007

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

University of Oklahoma College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235
• Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312
• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  Medicare reassignment Care Compare group NPD
• St. John Physicians, Inc

  dba Siggins Memorial Clinic

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD
• St John Sapulpa, Inc.

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1922076603
  NPD (past)
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  NPD (past)

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

• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St John Sapulpa, Inc.

  • Critical Access Hospital
  • Sapulpa, OK
  • NPI 1922076603
  Care Compare affiliation
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1508063074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W BOISE CIR",
            "address_2": "STE 250",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124954",
            "telephone_number": "918-744-3652",
            "fax_number": "918-744-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-744-3652",
            "fax_number": "918-744-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "KIP",
        "middle_name": "WESTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tikeela Dorrell
• Kaleb Benjamin Dorris
• Kayetlyn Nicole Dorse
• Donna Deneen Dorsey, CMI WELLNESS COACH
• Jeana Dorsey
• Ky Goodwin Dorsey, M.D.
• Sarah Dorsey, APRN-CNP
• Shaleen Alyssia Dorsey, LMSW
• Laura Dorwart, NURSE PRACTITIONER
• Richard A Doss, MD

• Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.

Verify at the official NPI Registry.