OrganizationActive
Ahs Oklahoma Physician Group LLC
NPI 1235182775 · Family Medicine Physician · Tulsa, OK
Provider details
- NPI number
- 1235182775
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Petrovich, Evp General Counsel(615) 296-3594
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1120 S Utica Ave Ste 100
Tulsa, OK 74104-4012
Phone: (918) 579-3826
Fax: (918) 579-1262
Approximate (ZIP-level) locationGet directions
Mailing address
340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Other names (DBA / former)
- Doing business as
- Utica Park Clinic
- Doing business as
- Utica Park Clinic
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.