Timothy Vavricka, MD
Individual provider Active NPI Surgery Physician · Oklahoma City, OK
NPI 1700927175 · NPPES record last updated Jun 15, 2018
Key facts
- NPI
- 1700927175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 24483 (OK)
- Practice address
- 401 SW 80TH St Ste 101
Oklahoma City, OK 73139 - Phone
- (405) 601-5169
- Fax
- (405) 601-9095
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Oklahoma College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newman Memorial Hospital, Inc
Chickasaw Nation Division of Health Chickasaw Nation Medical Center
Practice addresses (Care Compare)
1000 15TH St
Woodward, OK 73801-3008
Phone (580) 571-3160
1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980
2525 NW Expressway
Suite 610
Oklahoma City, OK 73112-7251
Phone (405) 286-9465
905 S Main
Shattuck, OK 73858-9205
905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-2551
Hospital & facility affiliations
- Oklahoma Center for Orthopaedic & Multi-SP
- Chickasaw Nation Medical Center
- Integris Southwest Medical Center
- Newman Memorial Hospital
- Community Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141013001711 | OK | Practitioner - General Surgery | 8325268477 | Reassigns benefits to 4 organizations |
| I20240715000497 | TX | Practitioner - General Surgery | 8325268477 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newman Memorial Hospital, Inc | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Chickasaw Nation Division of Health | Current |
Accepting new patients | |
| Chickasaw Nation Division of Health | Current | Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Chickasaw Nation Division of Health | Current |
Accepting new patients | |
| Oklahoma Surgical Group, PLLC | Surgery | Current |
Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc | Past | Accepting new patients | |
| Newman Memorial Hospital, Inc. | Past | Accepting new patients | |
| Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC | Past | Accepting new patients | |
| Chickasaw Nation Division of Health | Past | Accepting new patients |
Locations
1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570
2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181
920 Stanton L Young Blvd
#2140
Oklahoma City, OK 73104
Phone (405) 271-6308
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
2525 NW Expressway
Ste 610
Oklahoma City, OK 73112
Phone (405) 242-2181
401 SW 80th St
Ste 101
Oklahoma City, OK 73139
Phone (405) 601-4227
1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700
905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551
817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392
1000 15th St
Woodward, OK 73801
Phone (580) 256-2820
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEAHBA
- https://fhir4.healow.com/fhir/r4/EEAHBA/Endpoint/EEAHBA
- tvavricka28568@direct.chickasawnationhealth.net
- https://fhir-myrecord.cerner.com/r4/ed29dd2e-7f6b-4b48-93ba-6ba78c79cd2d/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 24483 | OK | Yes |
Addresses
Primary practice location
401 SW 80TH St Ste 101
Oklahoma City, OK 73139
Mailing address
401 SW 80TH St Ste 101
Oklahoma City, OK 73139-8123
Phone (405) 601-5169
Other practice location 1
920 Stanton L Young Blvd
WP 2140
Oklahoma City, OK 73104-5020
Phone (405) 271-6308
Other providers in Oklahoma City, OK
- Alexandria Vaught
- Elmer J Vaught
- Jessica Marie Vaught
- Samantha Rose Vaught
- Beverly Aileen Vavricka
- Hemylie A. Vazquez Gerena
- Alicia Vazquez
- Brenda Julisa Vazquez
- Cora Vazquez
- Edwin Fabian Vazquez
All providers in Oklahoma City, OK · Surgery Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.