NPIMap

Individual provider Active NPI

Edwin Lynn McCreary, M.D.

  • Hematology & Oncology Physician
  • Tulsa, OK
National Provider Identifier
1609820034
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
22240 Issued in OK
Practice address
1809 E 13TH St
Suite 402
Tulsa, OK 74104-4419
Phone
(918) 579-3850
Fax
(918) 579-3859
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 22240 OK Primary

Addresses

Primary practice location

1809 E 13TH St
Suite 402
Tulsa, OK 74104-4419

Mailing address

1245 S Utica Ave
FL 1
Tulsa, OK 74104-4214
Phone (918) 579-3850

Other identifiers 1

IdentifierTypeStateIssuer
100137340AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000343 OK Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4688686256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Hospital Pryor Hospital, Pryor, OK, CCN 370015
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jun 21, 2024 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Mar 1, 2011 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Mar 1, 2011 Accepting new patients
Ou Health Partners, Inc CurrentSince Jun 21, 2024 Accepting new patients
Ou Medicine Inc. Past Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
Oklahoma Oncology & Hematology PC Hematology & Oncology Past Accepting new patients

Locations

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

1809 E 13th St
Ste 402
Tulsa, OK 74104
Phone (918) 579-2300

1145 S Utica Ave
Ste 460
Tulsa, OK 74104
Phone (918) 392-8884

1245 S Utica Ave
Fl 1
Tulsa, OK 74104
Phone (918) 382-2515

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

1245 S Utica Ave
#3
Tulsa, OK 74104

Interoperability endpoints

  • Direct secure messaging: emccreary112768@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1609820034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S UTICA AVE",
            "address_2": "FL 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044214",
            "telephone_number": "918-579-3850",
            "fax_number": "918-579-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST",
            "address_2": "SUITE 402",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044419",
            "telephone_number": "918-579-3850",
            "fax_number": "918-579-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "EDWIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "22240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.