Individual provider Active NPI

Stephen Henry Oklat, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Traverse City, MI
National Provider Identifier
1568658607
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005130 Issued in MI
Practice address
1105 Sixth St
Traverse City, MI 49684-2345
Phone
(231) 935-7514
Fax
(231) 392-0039
NPI assigned
Sep 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005130 MI Primary

Addresses

Primary practice location

1105 Sixth St
Traverse City, MI 49684-2345

Mailing address

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-7514

Other practice location 1

4045 W Royal Dr
Traverse City, MI 49684-8965
Phone (231) 935-0600

Other practice location 2

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (231) 935-0322

Other practice location 3

1221 Sixth St Ste 100
Traverse City, MI 49684-2359
Phone (231) 392-8400

Other practice location 4

3537 W Front St
Traverse City, MI 49684-7941
Phone (231) 935-5880

Other practice location 5

217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400

Other practice location 6

1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 398-1750

Other practice location 7

8872 Professional Dr
Cadillac, MI 49601-8481
Phone (231) 779-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000482 MI Practitioner - Physician Assistant 1951480821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1121 6TH St
Suite 316
Traverse City, MI 49684-2345
Phone (231) 392-8280

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005130MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Oct 19, 2020 Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Jan 9, 2025 Accepting new patients
Munson Healthcare Manistee Hospital CurrentSince Jan 9, 2025 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jan 9, 2025 Accepting new patients
Munson Healthcare Cadillac CurrentSince Jan 9, 2025 Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients
Munson Medical Center Past Accepting new patients
Munson Healthcare Manistee Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

8872 Professional Dr
Ste B
Cadillac, MI 49601
Phone (231) 779-0320

1345 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1740

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

1221 Sixth St
Ste 100
Traverse City, MI 49684
Phone (231) 392-8400

3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

1221 Sixth St
Ste 212
Traverse City, MI 49684
Phone (231) 392-0210

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1190419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1568658607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-7514",
            "fax_number": "231-392-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-7514",
            "fax_number": "231-392-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4045 W Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496848965",
            "country_code": "US",
            "telephone_number": "231-935-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Sixth St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842360",
            "country_code": "US",
            "telephone_number": "231-935-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Sixth St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842359",
            "country_code": "US",
            "telephone_number": "231-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 W Front St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847941",
            "country_code": "US",
            "telephone_number": "231-935-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842321",
            "country_code": "US",
            "telephone_number": "231-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609318",
            "country_code": "US",
            "telephone_number": "231-398-1750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8872 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496018481",
            "country_code": "US",
            "telephone_number": "231-779-0320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKLAT",
        "first_name": "STEPHEN",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-22",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.