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

Mr. Eugene J Ichinose, MD

Individual provider Internal Medicine Physician · NPI 1952378978

Mr. Eugene J Ichinose, MD is an Interventional Cardiology in Tulsa, Oklahoma. Graduated from Louisiana State University School of Medicine in New Orleans in 1999, 27 years ago. Practices with Ahs Oklahoma Heart LLC, a 132-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Oklahoma.

Years since qualifying
27
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
MA, OK
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1265 S Utica Ave Ste 300
Tulsa, OK 74104-4243
Phone: (918) 592-0999
Fax: (918) 592-1021
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 26012 (OK)
Internal Medicine Physician Taxonomy 207R00000X · Licence 209618 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 209618 (MA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 209618 (MA)
Nuclear Cardiology Physician Taxonomy 207UN0901X · Licence 209618 (MA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 26012 (OK)

Record details

NPI number1952378978
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESSeptember 16, 2016
Mailing address9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1999 (27 years in practice)
Group practice Ahs Oklahoma Heart Llc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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