Michael Shawn Nick, D.O., PHARM.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4937 Issued in OK

Practice address

1611 S Utica Ave
Ste 217
Tulsa, OK 74104-4909

Phone

(918) 744-3664

Fax

(918) 748-7688

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Anesthesiology

Education

Oklahoma State University College of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utb Anesthesia PLLCGroup PAC ID 0547448524, 23 clinicians

Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025
• Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
• Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Integral Anesthesia, LLC

  • Anesthesiology Physician
  • Jenks, OK
  • NPI 1881041515
  Medicare reassignment Care Compare group NPD
• Utb Anesthesia PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1407150709
  Medicare reassignment Care Compare group
• Northstar Anesthesia of Oklahoma, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043516628

  OK

  Medicare reassignment NPD

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

• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bartlesville, OK
  • NPI 1427428986
  Care Compare affiliation
• Oklahoma State University Medical Trust

  dba Oklahoma State University Medical Center

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1578704938
  Care Compare affiliation
• Saint Francis Hospital Muskogee Inc

  dba Saint Francis Hospital Muskogee

  • General Acute Care Hospital
  • Muskogee, OK
  • NPI 1386188837
  Care Compare affiliation

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1639480254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S UTICA AVE",
            "address_2": "STE 217",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044909",
            "telephone_number": "918-744-3664",
            "fax_number": "918-748-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S UTICA AVE",
            "address_2": "STE 217",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044909",
            "telephone_number": "918-744-3664",
            "fax_number": "918-748-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICK",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "D.O., PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "13532",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Nichols
• Timothy James Nichols
• Joseph M. Nicholson III, D.O.
• Chelsie Nick, OTR/L,CSRS,CNS,CBIS
• Jessica Nick
• Deidra Nickel, LPC
• Jacquelyn Olivia Nickel, RD, MS
• Timothy J Nickel, MD
• Shaun Nickelson
• Krissa Nickles

• Anesthesiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.