John William Ervin, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

33711 Issued in OK

Practice address

4444 E 41St St
Tulsa, OK 74135-2527

Phone

(918) 619-4400

NPI assigned

Aug 30, 2005

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

Other identifiers 2

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

Obstetrics/Gynecology

Education

Ponce School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Integris Grove Hospital Hospital, Grove, OK, CCN 370113

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jervin28038@ouhealth.direct-ci.net
• Direct secure messaging: jervin274725@direct.integrisok.com
• Direct secure messaging: jervin174949@ahs.direct-ci.com

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.

• Integris Ambulatory Care Corporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1750333936

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Obhg Oklahoma, P.C.

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
  • NPI 1043595374
  Medicare reassignment NPD
• Integris Ambulatory Care C Orporation

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1326076027
  NPD (past)
• Integris Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579
  NPD (past)
• Oklahoma State University

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1306882261

  Obstetrics & Gynecology

  NPD (past)
• Columbia Lutheran Charities

  • Community Based Hospice Care Agency
  • Astoria, OR
  • NPI 1023038858
  NPD (past)
• Columbia Lutheran Charities

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1932814704
  NPD (past)

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

• Integris Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579
  Care Compare affiliation
• Integris Grove Hospital

  • Ambulance
  • Grove, OK
  • NPI 1770626608

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1629061213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268838",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268838",
            "telephone_number": "918-660-8350",
            "fax_number": "918-660-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352527",
            "telephone_number": "918-619-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 May St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "97031",
            "country_code": "US",
            "telephone_number": "541-387-8940",
            "fax_number": "541-387-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "33711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500694558",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "878690060A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylore Paige Erickson, LPC
• Campbell Ward Ernst, MAT, LAT, ATC
• Emily Jordan Ernst, OTR/L
• Shannon Ernst
• Eugenio Erquiaga, M.D.
• Melissa Ervin, BHRS/CMA
• Becky Erwin, RN
• Jordan Erwin
• Kelli M Erwin, LPC, LADC
• Matthew E Erwin, PRSS

• Obstetrics & Gynecology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.