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

Madeline Mahoney

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063080919

Madeline Mahoney is a Family Practice in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2022, 4 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2021
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Practice location Address checks out

1111 W 17th St
Tulsa, OK 74107-1886
Phone: (918) 582-1972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OK)

Record details

NPI number1063080919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

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 2022 (4 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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