Provider Demographics
NPI:1205226255
Name:PIKE, STEVEN LEE (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:PIKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1923 S UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-6520
Mailing Address - Country:US
Mailing Address - Phone:918-403-7089
Mailing Address - Fax:918-744-2946
Practice Address - Street 1:1923 S UTICA AVE FL 5
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-6520
Practice Address - Country:US
Practice Address - Phone:918-712-3366
Practice Address - Fax:918-403-6343
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-29
Last Update Date:2025-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PA25MA09725200208600000X
LA3086262086S0129X
OK436342086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK201261170AMedicaid
LA2473794Medicaid