Active NPI
Starla M Allen, D.O.
- Family Medicine Physician
- Fairfax, OK
National Provider Identifier
1992071179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5383
- Practice address
- 40 Hospital Rd
Fairfax, OK 74637-5084 - Phone
- (918) 642-3291
- NPI assigned
- Apr 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 5383 | OK | Primary |
Addresses
Primary practice location
40 Hospital Rd
Fairfax, OK 74637-5084
Mailing address
40 Hospital Rd
Fairfax, OK 74637-5084
Phone (918) 642-3291
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150729009371 | OK | Practitioner - Family Practice | 4587978903 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5383 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients |
Locations
550 W 121st St S
Glenpool, OK 74033
Phone (918) 291-5200
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
Interoperability endpoints
- sallen187317@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Family Medicine, OK
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
- Home Health Agency
- Tulsa, OK
- NPI 1437164969
-
- Home Health Agency
- Tulsa, OK
- NPI 1073212387
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ahs Oklahoma Physician Group LLC
Practice addresses (Care Compare)
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
550 W 121St St S
Glenpool, OK 74033-8677
Phone (918) 291-5200
9001 S 101St E Ave
Tulsa, OK 74133-5711
Hospital & facility affiliations
- Elara Caring XXV
- Angels Care Home Health of East Oklahoma
- Vitalcaring Group
- Hillcrest Hospital South
- Hillcrest Medical Center
- Hillcrest Hospital Henryetta
- Saint Francis Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1992071179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HOSPITAL RD",
"city": "FAIRFAX",
"state": "OK",
"postal_code": "746375084",
"telephone_number": "918-642-3291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HOSPITAL RD",
"city": "FAIRFAX",
"state": "OK",
"postal_code": "746375084",
"telephone_number": "918-642-3291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "STARLA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-01",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "5383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.