Individual provider Active NPI

Timothy Charles Hoekstra, MD

  • Obstetrics & Gynecology Physician
  • Ponca City, OK
National Provider Identifier
1902862600
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28108 Issued in OK
Practice address
1908 N 14TH St Ste 203
Ponca City, OK 74601-2039
Phone
(580) 718-4501
Fax
(580) 718-4581
NPI assigned
Apr 22, 2006
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 28108 OK Primary

Addresses

Primary practice location

1908 N 14TH St Ste 203
Ponca City, OK 74601-2039

Mailing address

1908 N 14TH St Ste 203
Ponca City, OK 74601-2039
Phone (580) 718-4501

Other identifiers 3

IdentifierTypeStateIssuer
160002638OtherMIRAILROAD MEDICARE
1420814MedicaidMI
160002638OtherMIMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110505000278 OK Practitioner - Obstetrics/Gynecology 0244295707 Reassigns benefits to 5 organizations
I20160628001179 AR Practitioner - Obstetrics/Gynecology 0244295707 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28108OKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Feb 17, 2025 Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2025 Accepting new patients
New Parkhill PA Obstetrics & Gynecology CurrentSince Jun 22, 2016 Accepting new patients
Mercy Hospital Ardmore, Inc. CurrentSince Nov 2, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 31, 2022 Accepting new patients
Mercy Hospital Ardmore, Inc CurrentSince Nov 2, 2022 Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2025 Accepting new patients
Integris Ambulatory Care Corporation Obstetrics & Gynecology CurrentSince Aug 10, 2024 Accepting new patients
Obhg Arkansas, PA Obstetrics & Gynecology CurrentSince Jun 10, 2016 Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Muskogee Medical and Surgical Associates, LLC Obstetrics & Gynecology Past Accepting new patients
Oklahoma State University Obstetrics & Gynecology Past Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients
Carolyn D. Hoekstra Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3215 N Northhills Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 521-4444

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Dept 2563
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2065/brand/5/csg/1/fhir/r4
  • Direct secure messaging: thoekstra480325@direct.integrisok.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1902862600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 203",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-718-4501",
            "fax_number": "580-718-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 203",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-718-4501",
            "fax_number": "580-718-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "28108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160002638",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420814",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160002638",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.