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

Dr. Keith Stacy Patterson, DO

Individual provider Family Medicine Physician · NPI 1306853874

Dr. Keith Stacy Patterson, DO is a Family Practice in Owasso, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2004, 22 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
22
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10512 N 110th East Ave
Owasso, OK 74055-6636
Phone: (918) 376-8900
Fax: (918) 272-7475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4322 (OK)

Record details

NPI number1306853874
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 6, 2014
Mailing address10512 N 110th East Ave, Owasso, OK 74055-6636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2004 (22 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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