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

Timothy Bushyhead

Individual provider Family Medicine Physician · NPI 1154718807

Timothy Bushyhead is a Family Practice in Skiatook, Oklahoma. Graduated from Ohio State University College of Medicine in 2015, 11 years ago. Practices with St John Physicians, Inc, a 264-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
11
Trained at
Ohio State University College of Medicine
Licensed in
OK
In the registry since
2015

Practice location Address checks out

1501 W Rogers Blvd
Skiatook, OK 74070
Phone: (918) 396-4122
Fax: (918) 403-6301
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 5953 (OK)

Record details

NPI number1154718807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESSeptember 5, 2018
Mailing address1501 W Rogers Blvd, Skiatook, OK 74070-3924

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice St. John Physicians, Inc. — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Skiatook