Individual provider Active NPI

Thomas Alan Karns, MD

  • Obstetrics & Gynecology Physician
  • Stillwater, OK
National Provider Identifier
1770579963
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13110 Issued in OK
Practice address
1411 W 7TH Ave
Suite 202
Stillwater, OK 74074-4300
Phone
(405) 624-8222
Fax
(405) 743-1574
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13110 OK Primary

Addresses

Primary practice location

1411 W 7TH Ave
Suite 202
Stillwater, OK 74074-4300

Mailing address

PO Box 720006
Suite 202
Norman, OK 73070-4006
Phone (405) 624-8222

Other identifiers 1

IdentifierTypeStateIssuer
100252040CMedicaidOK

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
I20110601000668 OK Practitioner - Obstetrics/Gynecology 6800852914 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority CurrentSince Jan 1, 2011 Accepting new patients
Stillwater Medical Center Authority Obstetrics & Gynecology CurrentSince Jan 1, 2011 Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1411 W 7th Ave
Ste 202
Stillwater, OK 74074
Phone (405) 624-8222

1411 W 7th Ave
Ste 102
Stillwater, OK 74074
Phone (405) 377-8367

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1770579963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720006",
            "address_2": "SUITE 202",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704006",
            "telephone_number": "405-624-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W 7TH AVE",
            "address_2": "SUITE 202",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744300",
            "telephone_number": "405-624-8222",
            "fax_number": "405-743-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARNS",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "13110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252040C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.