NPIMap

Individual provider Active NPI

Kathryn Rebecca Farguson, D.O.

  • Cardiovascular Disease Physician
  • Bartlesville, OK
National Provider Identifier
1912299041
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5073 Issued in OK
Practice address
3460 E Frank Phillips Blvd
Bartlesville, OK 74006-2406
Phone
(918) 332-3600
NPI assigned
May 9, 2011
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5073 OK Primary

Addresses

Primary practice location

3460 E Frank Phillips Blvd
Bartlesville, OK 74006-2406

Mailing address

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 403-7054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001478 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8729219852 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Oklahoma State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

1301 W 6TH Ave
Suite 207
Stillwater, OK 74074-4381
Phone (405) 533-6990

4833 Integris Pkwy
Suite 325
Edmond, OK 73034-8864
Phone (405) 657-3646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5073OKMDMental Health Counselor
5598OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Sep 6, 2016 Accepting new patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Oct 25, 2025 Accepting new patients
St. John Physicians, Inc. Cardiovascular Disease CurrentSince Sep 6, 2016 Accepting new patients
Stillwater Medical Center Authority CurrentSince Nov 1, 2019 Accepting new patients
Stillwater Medical Center Authority Cardiovascular Disease CurrentSince Nov 1, 2019 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients

Locations

3460 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 332-3600

4833 Integris Pkwy
Ste 325
Edmond, OK 73034
Phone (405) 657-3646

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1301 W 6th Ave
Ste 207
Stillwater, OK 74074
Phone (405) 533-3010

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Interoperability endpoints

  • Direct secure messaging: kathryn.farguson.p1@direct.smc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1912299041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 S UTICA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741046520",
            "telephone_number": "918-403-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 E FRANK PHILLIPS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062406",
            "telephone_number": "918-332-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGUSON",
        "first_name": "KATHRYN",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-09",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.