Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790419117 Individual Practitioner Female Practitioner

Kim Maki

Physician Assistant • Tulsa, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kim Maki is a certified Physician Assistant practicing in Tulsa, OK. With approximately 2 years of clinical experience since completing medical education in 2024, Kim Maki delivers high-quality medical care to the local community at 4802 S 109TH EAST AVE.

Kim Maki is affiliated with Tulsa Bone And Joint Associates Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4802 S 109th East Ave

Tulsa, OK 741465822

Telephone 9183921400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tulsa, OK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
400 Specialists

Practicing in Tulsa, OK (1911 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maki (2 Years) 2 Yrs
Tulsa Specialty Average (9.9 Years) 9.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 5464

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Tulsa Bone And Joint Associates Pc

4808 S 109th E Ave, Tulsa, OK 741465822

Phone: 9183921513

Tulsa Bone And Joint Associates Pc

4812 S 109th E Ave, Tulsa, OK 741465826

Phone: 9183921513

Tulsa Bone And Joint Associates Pc

4802 S 109th E Ave, Tulsa, OK 741465822

Phone: 9183921513

Secondary Practice Locations

4713 S 167th East Ave

Tulsa, OK 741347131

Phone: 9188109308

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ashley Westerman

Nurse Anesthetist, Certified Registered

NPI 1003164716
Dr. Wesley Stotler , DO

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1013984251

Doctor of Osteopathic Medicine (D.O.)

Braxton Huckabee , CNP

Nurse Practitioner - Acute Care

NPI 1023772696

Certified Nurse Practitioner

Dr. Brian Lovelace , MD

Orthopaedic Surgery

NPI 1043359813

Doctor of Medicine (M.D.)

Dr. Addison Wood , DO, PhD

Orthopaedic Surgery

NPI 1053843995

Doctor of Osteopathic Medicine (D.O.), Doctor of Philosophy (Ph.D.)

Tyler Wilcox

Physician Assistant

NPI 1063130144

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 4802 S 109TH EAST AVE, TULSA, OK 741465822 (Tel: 9183921400)

📍
Updated Business Mailing Address January 08, 2025

Registered at 4802 S 109TH EAST AVE, TULSA, OK 741465822 (Tel: 9188109308)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2025

Physician Assistant (License #5464 in OK)

NPI Profile Active July 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2022

Registered at 4713 S 167TH EAST AVE, TULSA, OK 741347131 (Tel: 9188109308)

📍
Updated Business Mailing Address July 12, 2022

Registered at 4713 S 167TH EAST AVE, TULSA, OK 741347131 (Tel: 9188109308)

👤
Provider Name / Credentials Updated July 12, 2022

Recorded as KIM MAKI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790419117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2022
Last Update: January 08, 2025
Sole Proprietor: No

Mailing Address

4802 S 109th East Ave

Tulsa, OK 741465822

Phone: 9188109308

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.