Active NPI
Ahs Oklahoma Physician Group, LLC
Doing business as Cushing Medical Specialist
- Rural Health Clinic/Center
- Cushing, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- AHS OKLAHOMA PHYSICIAN GROUP, LLC
- Doing business as
- Cushing Medical Specialist
- Practice address
- 1025 E 2ND St
Cushing, OK 74023-4136 - Phone
- (918) 225-3627
- NPI assigned
- Mar 10, 2021
- Last updated
- Jun 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen C. Petrovich
- Title
- Evp General Counsel
- Phone
- (615) 296-3594
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1025 E 2ND St
Cushing, OK 74023-4136
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Phone (615) 296-3594
Other names 1
- Cushing Medical Specialist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210401000956 | OK | Part A Provider - Rural Health Clinic | 9436122496 | Practice locations: Cushing, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922683051. Details of each certification follow.
Rural health clinic certification: CCN 373884
- Legal name
- AHS OKLAHOMA PHYSICIAN GROUP LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 22, 2021
- Last certification
- May 9, 2024
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Apr 20, 2004 in DE
- Enrollment address
- 1025 E 2ND St
Cushing, OK 74023-4136
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
9436122496
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba DaVita Medical Group
- Family Medicine Physician
- Albuquerque, NM
- NPI 1124053210
Member Of
Locations (25 of 34)
2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700
700 W 7th Ave
Ste 103
Bristow, OK 74010
Phone (918) 367-5531
700 W 7th Ave
Ste 104
Bristow, OK 74010
Phone (918) 367-8818
2400 N Highway 66
Ste B
Catoosa, OK 74015
Phone (918) 266-4433
1501 N Florence Ave
Ste 350
Claremore, OK 74017
Phone (918) 343-8574
201 W Blue Starr Dr
Ste 300
Claremore, OK 74017
Phone (918) 341-4825
100 N Hickerson Dr
Cleveland, OK 74020
Phone (918) 358-1600
1023 E Cherry St
Ste E
Cushing, OK 74023
Phone (918) 225-0550
609 E Main St
Locust Grove, OK 74352
Phone (918) 479-8060
615 S 32nd St
Muskogee, OK 74401
Phone (539) 239-5240
10215 N 110TH E Ave
Ste 200
Owasso, OK 74055
Phone (918) 376-8840
10512 N 110th East Ave
Ste 130
Owasso, OK 74055
Phone (918) 272-6333
11402 N 135th East Ave
Owasso, OK 74055
Phone (918) 212-7373
300 Boulder St
Pawnee, OK 74058
Phone (918) 762-2522
103N Fairland St
Pryor, OK 74361
Phone (918) 825-2070
109 N Fairland St
Ste 108
Pryor, OK 74361
Phone (918) 825-2070
133 N Fairland St
Ste 1
Pryor, OK 74361
Phone (918) 825-1957
1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838
1145 S Utica Ave
Ste 262
Tulsa, OK 74104
Phone (918) 579-3035
1245 S Utica Ave
Fl 1
Tulsa, OK 74104
Phone (918) 382-2515
1245 S Utica Ave
Ste 100
Tulsa, OK 74104
Phone (918) 579-3850
1245 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 579-2540
1245 S Utica Ave
Ste 203
Tulsa, OK 74104
Phone (918) 579-3875
1245 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 382-2536
1245 S Utica Ave
Ste 301
Tulsa, OK 74104
Phone (918) 382-2536
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ardent Health Inc | 5% Or Greater Indirect Ownership Interest | Mar 11, 2021 | 100% |
| Kevin Gross | Corporate Officer | Mar 11, 2021 | 100% |
| W-2 Managing Employee | Mar 11, 2021 | 100% | |
| Brian Walton | Corporate Officer | Mar 11, 2021 | |
| Ahs Oklahoma, LLC | 5% Or Greater Indirect Ownership Interest | Mar 11, 2021 | 100% |
| Martin Bonick | Corporate Officer | Mar 11, 2021 | |
| Ahs Hillcrest Healthcare System LLC | 5% Or Greater Direct Ownership Interest | Mar 11, 2021 | 100% |
| Mary a Crabtree | Corporate Officer | Mar 11, 2021 | |
| Ahs Management Company Inc. | Operational/Managerial Control | Mar 11, 2021 | 100% |
| Stephen C Petrovich | Corporate Officer | Mar 11, 2021 | |
| Ardent Legacy Holdings LLC | 5% Or Greater Indirect Ownership Interest | Mar 11, 2021 | 100% |
| Clint Bradley Adams | Corporate Officer | Mar 1, 2021 | |
| Ahp Health Partners, Inc | 5% Or Greater Indirect Ownership Interest | May 1, 2021 | 100% |
Facilities with the same owner 61
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Claremore, OK
- NPI 1356974687
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Rural Health Clinic/Center
- Claremore, OK
- NPI 1316579642
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Hospital Cushing
- Medicare Defined Swing Bed Hospital Unit
- Cushing, OK
- NPI 1467523894
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Cushing Regional Hospital
- General Acute Care Hospital
- Cushing, OK
- NPI 1801867643
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Utica Park Clinic Primary Care
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1295232478
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
- Medicare Defined Swing Bed Hospital Unit
- Henryetta, OK
- NPI 1588733828
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Hospital Henryetta
- General Acute Care Hospital
- Henryetta, OK
- NPI 1720053556
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Utica Park Clinic Family Care
- Rural Health Clinic/Center
- Henryetta, OK
- NPI 1871008722
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Medical Center
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1679652192
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
-
dba Utica Park Clinic Elliott
- Rural Health Clinic/Center
- Pryor, OK
- NPI 1134632037
Ahp Health Partners, Inc, Ahs Hillcrest Healthcare System LLC, Ahs Management Company Inc., Ahs Oklahoma, LLC, Ardent Health Inc, Ardent Legacy Holdings LLC
Practitioners & affiliated clinicians
Practitioners 333
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Glenpool, OK
- NPI 1578674503
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1770220774
-
- Family Medicine Physician
- Fairfax, OK
- NPI 1992071179
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1962499574
-
- Adult Health Nurse Practitioner
- Tulsa, OK
- NPI 1447924980
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1912228149
-
- Family Nurse Practitioner
- Owasso, OK
- NPI 1205235363
-
- Surgery Physician
- Tulsa, OK
- NPI 1912935644
-
- Hospitalist Physician
- Tulsa, OK
- NPI 1316174964
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1669347456
-
- Family Medicine Physician
- Bixby, OK
- NPI 1154861607
-
- Pain Medicine Physician
- Tulsa, OK
- NPI 1083858138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1922683051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 SEVEN SPRINGS WAY STE 100",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275697",
"telephone_number": "615-296-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E 2ND ST",
"city": "CUSHING",
"state": "OK",
"postal_code": "740234136",
"telephone_number": "918-225-3627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHS OKLAHOMA PHYSICIAN GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-10",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "PETROVICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "EVP GENERAL COUNSEL",
"authorized_official_telephone_number": "615-296-3594"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cushing Medical Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cushing, OK
- Aesthetic Dental LLC
- Ahs Cushing Hospital LLC
- Ahs Cushing Hospital LLC (Hillcrest Hospital Cushing)
- Ahs Cushing Hospital LLC
- Ahs Cushing Hospital LLC (Cushing Regional Hospital)
- Air Evac EMS Inc (Air Evac Lifeteam)
- Alpha Care CCT, LLC
- Alternative Opportunities
- Alternative Opportunities, Inc.
- Alternative Opportunities, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.