MIKAEL ANN WORSHAM-FRYE DO
NPI 1073192647
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Q: What is Mikael Worsham-frye's NPI number?

The NPI number for Mikael Worsham-frye is 1073192647. It was assigned to this individual provider in the NPPES registry on April 2, 2021. The provider is also known as Mikaelann Worsham Do.

Q: What is Mikael Worsham-frye's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 02, 2021PECOS Enrolled

4502 E 41ST ST, TULSA, OK 74135(918) 619-4300 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mikael Ann Worsham-frye Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKAEL ANN WORSHAM-FRYE DO (NPI 1073192647) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073192647

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIKAEL ANN WORSHAM-FRYECredential: DO

Location Address4502 E 41ST STTulsa, OK 74135-2536

Mailing Address4502 E 41st StTulsa, OK 74135-2536

Phone(918) 619-4300

Sole ProprietorNo

Enumeration DateApril 2, 2021

NPPES CertifiedApril 2, 2021

✔ NPI 1073192647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4502 E 41ST ST, Tulsa, OK 74135

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Other Names 1

Professional Name (2)Mikaelann Worsham Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikael Ann Worsham-frye Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL DANIEL FIGUEIREDO MD

Emergency Medicine