Individual provider Active NPI

Ladd Clayton Atkins, D.O.

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1912198375
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4362 Issued in OK
Practice address
6304 E 102ND St
Tulsa, OK 74137-7061
Phone
(918) 298-8080
Fax
(918) 528-3841
NPI assigned
Aug 9, 2007
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4362 OK
Surgery Physician 208600000X 4362 OK Primary

Addresses

Primary practice location

6304 E 102ND St
Tulsa, OK 74137-7061

Mailing address

6304 E 102ND St
Tulsa, OK 74137-7061
Phone (918) 298-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.74 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4362OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Broken Arrow Pain Specialist, LLC Current Accepting new patients
Prophylaxis Healthcare LLC Past Accepting new patients
Care Clinic PastSince Apr 1, 2015 Accepting new patients
Urgent Care of Green Country PLLC Past Accepting new patients
Prophylaxis Healthcare LLC Past Accepting new patients
Venite LLC Specialist Past Accepting new patients

Locations

1129 S Aspen Ave
Broken Arrow, OK 74012
Phone (539) 367-1253

2028 Mahaney Ave
Tahlequah, OK 74464
Phone (918) 456-0001

Interoperability endpoints

  • Direct secure messaging: ladd.atkins.1@29002.direct.athenahealth.com

Organizations & group practices 8

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1912198375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 E 102ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "918-298-8080",
            "fax_number": "918-528-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 E 102ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "918-298-8080",
            "fax_number": "918-528-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "LADD",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "4362",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.