Active NPI
Laurie Leigh Isenberg, PA
- Medical Physician Assistant
- Bixby, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1342
- Practice address
- 7333 E 121St St S
Bixby, OK 74008 - Phone
- (918) 403-7140
- Fax
- (918) 856-5392
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1342 | OK | Primary |
Addresses
Primary practice location
7333 E 121St St S
Bixby, OK 74008
Mailing address
7333 E 121St St S
Bixby, OK 74008-2654
Phone (918) 403-7140
Other practice location 1
5050 E Kenosha St
Broken Arrow, OK 74014-6711
Phone (918) 355-9492
Other practice location 2
5050 E Kenosha St
Broken Arrow, OK 74014-6711
Phone (918) 355-9492
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1342 | OK | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Past | Accepting new patients |
Locations
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- laurie.isenberg@direct.stjohnhealthsystem.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1174578249
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1336194406
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
-
- Critical Access Hospital
- Sapulpa, OK
- NPI 1922076603
-
- General Acute Care Hospital
- Broken Arrow, OK
- NPI 1497988596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1710903604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7333 E 121ST ST S",
"city": "BIXBY",
"state": "OK",
"postal_code": "740082654",
"telephone_number": "918-403-7140",
"fax_number": "918-856-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7333 E 121ST ST S",
"city": "BIXBY",
"state": "OK",
"postal_code": "74008",
"telephone_number": "918-403-7140",
"fax_number": "918-856-5392"
}
],
"practiceLocations": [
{
"address_1": "5050 E Kenosha St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740146711",
"country_code": "US",
"telephone_number": "918-355-9492",
"fax_number": "918-355-9250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5050 E Kenosha St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740146711",
"country_code": "US",
"telephone_number": "918-355-9492",
"fax_number": "918-355-9250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISENBERG",
"first_name": "LAURIE",
"middle_name": "LEIGH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "1342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bixby, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.