Organization Active NPI

Ahs Oklahoma Physician Group, LLC

Doing business as Cushing Medical Specialist

  • Rural Health Clinic/Center
  • Cushing, OK
National Provider Identifier
1922683051
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Ardent Health Inc Organization, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Mar 11, 2021 100%
Kevin Gross Individual Corporate OfficerCeo Mar 11, 2021 100%
W-2 Managing EmployeeCeo Mar 11, 2021 100%
Brian Walton Individual Corporate OfficerSVP, Financial Operations Mar 11, 2021
Ahs Oklahoma, LLC Organization, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Mar 11, 2021 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Mar 11, 2021
Ahs Hillcrest Healthcare System LLC Organization, Nashville, TN LLC 5% Or Greater Direct Ownership Interest Mar 11, 2021 100%
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Mar 11, 2021
Ahs Management Company Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Mar 11, 2021 100%
Stephen C Petrovich Individual Corporate OfficerEvp, General Counsel Mar 11, 2021
Ardent Legacy Holdings LLC Organization, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Mar 11, 2021 100%
Clint Bradley Adams Individual Corporate OfficerEvp, Ceo Mar 1, 2021
Ahp Health Partners, Inc Organization, Nashville, TN Corporation 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.

View all 61

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.

View all 333

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

Sources for this page

Verify at the official NPI Registry.