Active NPI
Phillip Tyler Price, D.O.
- Family Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5615
- Practice address
- 10507 E 91St St Ste 310
Tulsa, OK 74133-5587 - Phone
- (918) 307-3200
- Fax
- (918) 307-3210
- NPI assigned
- Feb 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5615 | OK | Primary |
Addresses
Primary practice location
10507 E 91St St Ste 310
Tulsa, OK 74133-5587
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200564520A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5615 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Current | Accepting new patients | |
| Duncan Regional Hospital, Inc | Family Medicine | Past | Accepting new patients |
| Saint Francis Hospital, Inc. | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1415 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6657
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Interoperability endpoints
- pprice50571@direct.saintfrancis.com
- tprice714448@directa.mercy.net
Organizations & group practices 5
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- Multi-Specialty Clinic/Center
- Duncan, OK
- NPI 1942918214
Family Medicine
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1376561944
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1003039488
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1962742999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE STE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363331",
"telephone_number": "888-247-0125",
"fax_number": "918-502-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10507 E 91ST ST STE 310",
"city": "TULSA",
"state": "OK",
"postal_code": "741335587",
"telephone_number": "918-307-3200",
"fax_number": "918-307-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "PHILLIP",
"middle_name": "TYLER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200564520A",
"state": "OK"
}
],
"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 Jan 29, 2024; 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.
- 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.