Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas John Ivins, MD

Individual provider Family Medicine Physician · NPI 1023080090

Douglas John Ivins, MD is a Family Medicine Physician in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1111 S St Louis Ave
Tulsa, OK 74120
Phone: (918) 619-4600
Fax: (918) 619-4601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 23164 (OK)

Record details

NPI number1023080090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 268838, Oklahoma City, OK 73126-8838

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