Daniel Studdard, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2651 Issued in OK

Practice address

10507 E 91St St
Suite 550
Tulsa, OK 74133-5589

Phone

(918) 307-3060

Fax

(918) 307-3061

NPI assigned

Apr 13, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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.

• Ahs Oklahoma Physician Group LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775
  NPD (past)
• Broken Arrow Medical Group LLC

  • General Practice Physician
  • Tulsa, OK
  • NPI 1386676153

  Family Medicine

  NPD (past)
• Pacific Physician Services, LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1386607216
  NPD (past)
• Pacific Physician Services, LLC

  • General Practice Physician
  • Hattiesburg, MS
  • NPI 1316968084
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1689638017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "SUITE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363347",
            "telephone_number": "918-488-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 E 91ST ST",
            "address_2": "SUITE 550",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335589",
            "telephone_number": "918-307-3060",
            "fax_number": "918-307-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDDARD",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072170A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "700522067",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Michael Stubbs, D.C.
• Stella Aileen Stuck, COTA/L
• Kelley Rebekah Stuckey, MSN, APRN-CNP, FNP-C
• Tiffany Stuckey
• Brenton Reid Stucki, DO
• Ira John Studebaker Jr., MD
• Susan Nelson Studebaker, MD
• Chelsea Lynn Studie
• Kyle Nathan Stueber
• Gabrielle Stuehm, DNP, APRN, FNP-C

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.