Individual provider Active NPI

Carolyn Downs Hoekstra, MD

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1679539746
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28109 Issued in OK
Practice address
9001S 101St East Ave
Tulsa, OK 74133-5708
Phone
(918) 293-6200
Fax
(918) 293-6272
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28109 OK Primary

Addresses

Primary practice location

9001S 101St East Ave
Tulsa, OK 74133-5708

Mailing address

9001S 101St East Ave 350
Tulsa, OK 74133-5798
Phone (918) 293-6200

Other identifiers 2

IdentifierTypeStateIssuer
160057929OtherMIMEDICARE RAILROAD
1420805MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20160531001913 MO Practitioner - Obstetrics/Gynecology 4284696980 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28109OKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jun 1, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jun 1, 2016 Accepting new patients
Mercy Clinic-Springfield Communities Obstetrics & Gynecology CurrentSince Dec 18, 2017 Accepting new patients
Mercy Clinic Joplin LLC Obstetrics & Gynecology CurrentSince Aug 10, 2019 Accepting new patients
Carolyn D. Hoekstra Past Accepting new patients

Locations

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Mercy Way
Ste 510
Joplin, MO 64804
Phone (417) 556-6056

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

1965 S Fremont Ave
Ste 270
Springfield, MO 65804
Phone (417) 820-3559

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1679539746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001S 101ST EAST AVE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335798",
            "telephone_number": "918-293-6200",
            "fax_number": "918-293-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001S 101ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-293-6200",
            "fax_number": "918-293-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "CAROLYN",
        "middle_name": "DOWNS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "28109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160057929",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420805",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.