Active NPI
KND Development 59, LLC
- Hospitalist Physician
- Muskogee, OK
National Provider Identifier
1831074129
On this page
- Key facts
- Authorized official
- Other NPIs on the same Medicare enrollment1
- Other NPIs with the same Medicare PAC ID21
- Corporate family (same tax ID)1
- Practitioners181
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names2
- NPI Registry JSON
- Other providers in Muskogee, OK
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- KND DEVELOPMENT 59, LLC
- Practice address
- 351 S 40TH St
Muskogee, OK 74401-4916 - Phone
- (918) 682-6161
- NPI assigned
- Aug 7, 2025
- Organization subpart
- Yes
- Parent organization
- KINDRED
Authorized official
NPPES NPI Registry- Name
- Linda L Fisher
- Title
- DVP Revenue Cycle
- Phone
- (502) 596-7358
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Other NPIs with the same Medicare PAC ID 21
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
Practitioners 181
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Fort Lauderdale, FL
- NPI 1609187186
OK
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1871328286
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1881776821
-
- Addiction Medicine (Internal Medicine) Physician
- Albuquerque, NM
- NPI 1144314519
-
- Diagnostic Radiology Physician
- Jeffersonville, IN
- NPI 1629233986
-
- Internal Medicine Physician
- Lima, OH
- NPI 1619470069
-
- Vascular & Interventional Radiology Physician
- Melbourne, FL
- NPI 1487851812
-
- Neuroradiology Physician
- South Miami, FL
- NPI 1417490301
-
- Internal Medicine Physician
- Lima, OH
- NPI 1942528013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111019000434 | OK | Part B Supplier - Clinic/Group Practice | 3678602802 |
Receives reassigned benefits from 17 practitioners 2 other NPIs on this enrollment Practice locations: Muskogee, OK; Broken Arrow, OK |
National Provider Directory
National Provider Directory- Tax ID family
- KND Development 59 LLC
- Part of
- Presence Covenant Medical Center
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
351 S 40TH St
Muskogee, OK 74401-4916
Mailing address
680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7300
Other names 2
NPPES NPI Registry- Specialty Hospitals Muskogee
- 0458 Cornerstone Specialty Hospitals Muskogee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2026.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770854400000",
"number": "1831074129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022407",
"telephone_number": "502-596-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 S 40TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014916",
"telephone_number": "918-682-6161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KND DEVELOPMENT 59, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINDRED",
"enumeration_date": "2025-08-07",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DVP REVENUE CYCLE",
"authorized_official_telephone_number": "502-596-7358"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Specialty Hospitals Muskogee",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "0458 Cornerstone Specialty Hospitals Muskogee",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.