Roman Edwards
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tulsa, OK
NPI 1831763010 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1831763010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1111 W 17TH St
Tulsa, OK 74107-1886 - Phone
- (405) 761-7017
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Creek Nation Hospital and Clinics
Green Country Emergency Physicians Group of Tulsa, PLLC
Practice addresses (Care Compare)
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
105 Wall St
Poteau, OK 74953-4433
Phone (918) 647-8161
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Hillcrest Hospital Cushing
- Creek Nation Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.83 of 100
- Quality
- 81.24
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 83.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920000047 | TX | Practitioner - Emergency Medicine | 0648634915 | Reassigns benefits to 1 organization |
| I20230922001556 | OK | Practitioner - Emergency Medicine | 0648634915 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8035 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies ER Oklahoma LLC | Current |
Accepting new patients | |
| McAlester Regional Health Center Authority | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Green Country Emergency Physicians Group of Tulsa PLLC | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| South Central Emergency Services PC | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current |
Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Ahs Henryetta Hospital LLC | Past | Accepting new patients | |
| Ahs Cushing Hospital LLC | Past | Accepting new patients |
Locations
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915
2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
105 Wall St
Poteau, OK 74953
Phone (918) 635-3100
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1038
Tulsa, OK 74182
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
Dept 1467
Tulsa, OK 74182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1111 W 17TH St
Tulsa, OK 74107-1886
Mailing address
1111 W 17TH St
Tulsa, OK 74107-1886
Phone (405) 761-7017
Other names
- Roman Langer
Other providers in Tulsa, OK
- Lonnie Calvin Edwards II
- Lori Suzanne Edwards
- Lukiesha Edwards
- Reagan McCortney Edwards
- Rebecca Kay Edwards
- Stephanie Renee Edwards
- Teresa Edwards
- Timara Ladawn Edwards
- Tyfany Edwards
- Effective Teaching and Learning Institute
All providers in Tulsa, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.