OKLAHOMA HEART HOSPITAL, LLC (NPI# 1083617005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083617005 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA HEART HOSPITAL, LLC |
| Practice Address |
4050 W Memorial Rd Oklahoma City OK 73120-8382 |
| Practice Telephone | 4056083200 |
| Mailing Telephone | 4056083200 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | JOHN HARVEY (CEO) |
| Authorized Official Telephone | 4056083300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 284300000X | Special Hospital | 2354 | OK | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200009170A | 05 | |
| OK | BLUE CROSS BLUE SHIELD OK | 000370215001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5200 E I 240 Service Rd, Oklahoma City, OK 731352607 | 4056083200 |
| Street Address |
4050 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497375679 | Lauren Jones | Perfusionist | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2020-04-17 |
| 1215587506 | Bhumiben Thakorbhai Patel | Physician Assistant | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2019-09-18 |
| 1932756863 | Benitta John Philip | Family Medicine | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2019-08-26 |
| 1780237552 | Heidi Danae Macha | Pharmacist | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2019-07-22 |
| 1750845012 | Jordyn Kittle | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2019-01-30 |
| 1043784820 | Candice Hester | Nurse Practitioner | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2019-01-15 |
| 1932693520 | Natalie Taylor | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2018-06-18 |
| 1194262261 | Ryan Butler | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2017-01-26 |
| 1639528938 | Maya Susan Joseph | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2016-06-07 |
| 1649624495 | William Fuchs | Nurse Practitioner | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
| 1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
| 1902263569 | Rosa J. Rios | General Acute Care Hospital | 410 Sw 38th St, Oklahoma City, OK 73109-6904 | 2016-01-26 |
| 1174993133 | Neel Veterinary Hospital | General Acute Care Hospital | 2700 N Macarthur Blvd, Oklahoma City, OK 73127-1612 | 2015-10-03 |
| 1356580997 | Integris Southwest Medical Center | General Acute Care Hospital | 2604 Sw 91st St, Oklahoma City, OK 73159-6708 | 2009-02-04 |
| 1366680795 | Oklahoma Heart Hospital LLC | General Acute Care Hospital | 530 Sw 80th St, Imaging South, Oklahoma City, OK 73139-9408 | 2009-01-22 |
| 1801069299 | Janet M. Spradlin, Ph.d. PC | General Acute Care Hospital | 1000 N Lee Ave # 6188, Oklahoma City, OK 73102-1036 | 2008-04-08 |
| 1043307317 | Vamc | General Acute Care Hospital | 921 N.e.13th Str., Oklahoma City, OK 73104 | 2006-10-06 |
| 1033229240 | Surgical Hospital of Oklahoma LLC | General Acute Care Hospital | 100 Southeast 59th, Oklahoma City, OK 73129-3616 | 2006-08-30 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.