Individual provider Active NPI

Tammie Lynn Koehler, DO

  • Obstetrics & Gynecology Physician
  • Miami, OK
National Provider Identifier
1548378375
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03963 Issued in OK
Practice address
310 2ND Ave SW
Ste 204
Miami, OK 74354-6743
Phone
(918) 542-4300
Fax
(918) 542-3310
NPI assigned
Aug 29, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 03963 OK Primary

Addresses

Primary practice location

310 2ND Ave SW
Ste 204
Miami, OK 74354-6743

Mailing address

310 2ND Ave SW
Ste 204
Miami, OK 74354-6743
Phone (918) 542-4300

Other identifiers 1

IdentifierTypeStateIssuer
200045440AMedicaidOK

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
I20050119000586 OK Practitioner - Obstetrics/Gynecology 6103875992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 2ND Ave SW
Suite 204
Miami, OK 74354-6702
Phone (918) 542-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03963OKMDObstetrics & Gynecology Physician
3963OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Womens Clinic Inc Obstetrics & Gynecology CurrentSince Feb 22, 2005 Accepting new patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Dec 20, 2023 Accepting new patients
Integris Miami Hospital Past Accepting new patients
X-Ray Specialists, Inc. PastSince Dec 20, 2023 Accepting new patients

Locations

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

310 2nd Ave SW
Ste 104
Miami, OK 74354
Phone (918) 540-7867

310 2nd Ave SW
Ste 204
Miami, OK 74354
Phone (918) 540-7701

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Interoperability endpoints

  • Direct secure messaging: tkoehler66977@direct.integrisok.com

Organizations & group practices 4

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1548378375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW",
            "address_2": "STE 204",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546743",
            "telephone_number": "918-542-4300",
            "fax_number": "918-542-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW",
            "address_2": "STE 204",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546743",
            "telephone_number": "918-542-4300",
            "fax_number": "918-542-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "TAMMIE",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "03963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200045440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.