Individual provider Active NPI

Emily Ann Bolender, MD

  • Pediatrics Physician
  • Coweta, OK
National Provider Identifier
1861012247
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36039 Issued in OK
Practice address
30011 E State Highway 51
Coweta, OK 74429-7681
Phone
(918) 486-2161
Fax
(918) 486-3135
NPI assigned
Apr 25, 2020
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36039 OK Primary

Addresses

Primary practice location

30011 E State Highway 51
Coweta, OK 74429-7681

Mailing address

6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361

Other names 1

  • Emily Ann Estes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807001390 OK Practitioner - Pediatric Medicine 8123489135 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36039OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc Pediatrics Current Accepting new patients
Morton Comprehensive Health Services, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Morton Comprehensive Health Services, Inc CurrentSince Jul 17, 2023 Accepting new patients
Morton Comprehensive Health Services, Inc Past Accepting new patients

Locations

11511 E 21st St
Tulsa, OK 74129
Phone (918) 295-6185

1334 N Lansing Ave
Tulsa, OK 74106

Organizations & group practices 5

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": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1861012247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 E STATE HIGHWAY 51",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744297681",
            "telephone_number": "918-486-2161",
            "fax_number": "918-486-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENDER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "36039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ESTES",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coweta, OK

Sources for this page

Verify at the official NPI Registry.