Active NPI
Heather Colligan Kuklinski, PA-C
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1405
- Practice address
- 608 NW 9TH St Ste 6000
Oklahoma City, OK 73102-1041 - Phone
- (405) 360-6764
- Fax
- (405) 360-6769
- NPI assigned
- Sep 28, 2006
- Last updated
- Nov 27, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1405 | OK | Primary |
Addresses
Primary practice location
608 NW 9TH St Ste 6000
Oklahoma City, OK 73102-1041
Mailing address
3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764
Other practice location 1
3400 W Tecumseh Rd
Ste 101
Norman, OK 73072-1810
Phone (405) 360-6764
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10020 E 91St St
Tulsa, OK 74133-5835
Phone 3346781417375
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1405 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Neurocare PLLC | Current | Accepting new patients | |
| Eagle Community Clinic LLC | Past | Accepting new patients | |
| Rodney J. Miles, M.D., Inc. | Past | Accepting new patients |
Locations
10240 Broadway Ext
Oklahoma City, OK 73114
Phone (334) 678-1417
1407 N Robinson Ave
Oklahoma City, OK 73103
Phone (405) 232-8000
7909 S 101st East Ave
Tulsa, OK 74133
Phone (918) 744-2338
10020 E 91st St
Tulsa, OK 74133
Phone (918) 515-0297
Organizations & group practices 3
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.
-
- Neurocritical Care Physician
- Oklahoma City, OK
- NPI 1861237216
-
- Family Medicine Physician
- Edmond, OK
- NPI 1063790202
-
- Primary Care Clinic/Center
- Moore, OK
- NPI 1174745830
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1598857419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W TECUMSEH RD",
"address_2": "STE 101",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721810",
"telephone_number": "405-360-6764",
"fax_number": "405-360-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NW 9TH ST STE 6000",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021041",
"telephone_number": "405-360-6764",
"fax_number": "405-360-6769"
}
],
"practiceLocations": [
{
"address_1": "3400 W TECUMSEH RD",
"address_2": "STE 101",
"address_purpose": "LOCATION",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721810",
"country_code": "US",
"telephone_number": "405-360-6764",
"fax_number": "405-360-6769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUKLINSKI",
"first_name": "HEATHER",
"middle_name": "COLLIGAN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.