Active NPI
Holly Ann Kuhn, MD
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1760610430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26509
- Practice address
- 1705 E 19TH St
Ste 302
Tulsa, OK 74104-5405 - Phone
- (918) 748-7585
- Fax
- (918) 748-7539
- NPI assigned
- Jul 1, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26509 | OK | Primary |
Addresses
Primary practice location
1705 E 19TH St
Ste 302
Tulsa, OK 74104-5405
Mailing address
1515 N Harvard Ave
Ste E
Tulsa, OK 74115-4957
Phone (918) 832-6049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200255430A | Medicaid | OK | |
| 200039950A | Medicaid | OK |
Other names 1
- Miss Holly Ann Drake
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Mayes County HMPN, LLC | Family Medicine | Past | Accepting new patients |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Past | Accepting new patients |
Locations
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1515 N Harvard Ave
Ste E
Tulsa, OK 74115
Phone (918) 832-6049
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Family Medicine Physician
- Pryor, OK
- NPI 1124399233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1760610430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N HARVARD AVE",
"address_2": "STE E",
"city": "TULSA",
"state": "OK",
"postal_code": "741154957",
"telephone_number": "918-832-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 E 19TH ST",
"address_2": "STE 302",
"city": "TULSA",
"state": "OK",
"postal_code": "741045405",
"telephone_number": "918-748-7585",
"fax_number": "918-748-7539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHN",
"first_name": "HOLLY",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "26509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200255430A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200039950A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "DRAKE",
"middle_name": "ANN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.