Individual provider Active NPI

Tiffany Wemhaner Sibley, D.O.

  • Emergency Medicine Physician
  • Sand Springs, OK
National Provider Identifier
1720390990
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4957 Issued in OK
Practice address
102 S Main St
Sand Springs, OK 74063-6509
Phone
(918) 246-5750
Fax
(918) 246-5714
NPI assigned
Jul 5, 2010
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OP60351441 WA
Emergency Medicine Physician 207P00000X 4957 OK Primary

Addresses

Primary practice location

102 S Main St
Sand Springs, OK 74063-6509

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

1812 S J St
Ste 120
Tacoma, WA 98405-4964
Phone (253) 428-2200

Other identifiers 1

IdentifierTypeStateIssuer
356939OtherWASTATE L&I

Other names 1

  • Tiffany Wemhaner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000779 OK Practitioner - Emergency Medicine 1951589654 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jul 3, 2023 Accepting new patients

Locations

102 S Main St
Sand Springs, OK 74063
Phone (918) 245-2286

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: tsibley294527@direct.saintfrancis.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1720390990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636509",
            "telephone_number": "918-246-5750",
            "fax_number": "918-246-5714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 S J St",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054964",
            "country_code": "US",
            "telephone_number": "253-428-2200",
            "fax_number": "253-428-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "TIFFANY",
        "middle_name": "WEMHANER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-05",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60351441",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "356939",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WEMHANER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.