Stanley Gene Prough, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

11315 Issued in OK

Practice address

115 E 15TH St
Tulsa, OK 74119-4044

Phone

(918) 584-2870

Fax

(918) 587-3602

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stanley.prough@direct.stjohnhealthsystem.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tulsa Fertility Center, PLLC

  • Reproductive Endocrinology Physician
  • Tulsa, OK
  • NPI 1689788333
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1962432773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194044",
            "telephone_number": "918-584-2870",
            "fax_number": "918-587-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 15TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194044",
            "telephone_number": "918-584-2870",
            "fax_number": "918-587-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUGH",
        "first_name": "STANLEY",
        "middle_name": "GENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OK",
            "license": "11315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospero Health Partners Florida, Inc
• Brooke Prosser
• Laura Prosser, LPC
• Prosthetic Dentistry of Tulsa PC
• Alexandra Prough
• Provectus Diagnostics LLC
• Tina Marie Provence
• Monica A Provenzano
• Providence Counseling and Consulting LLC
• Providence Excel Home Care

• Reproductive Endocrinology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Reproductive Endocrinology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.