SE OKLAHOMA ANESTHESIA SERVICES LLC (NPI# 1396034716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396034716 |
Entity Type | Organization |
Organization Name | SE OKLAHOMA ANESTHESIA SERVICES LLC |
Practice Address |
1 E Clark Bass Blvd Mcalester OK 74501-4209 |
Mailing Address |
Po Box 1547 Sedalia MO 65302-1547 |
Practice Telephone | 9184261800 |
Mailing Telephone | 6608265960 |
Mailing Fax Number | 6608264852 |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |
Authorized Official Name | JIM BLAIR (CFO) |
Authorized Official Telephone | 9184261800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1 E CLARK BASS BLVD |
City | MCALESTER |
State | OK |
Zip Code | 74501-4209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316940034 | Mcalester Regional Health Center Authority | General Acute Care Hospital | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2005-05-27 |
1710598107 | Jon-andrew Martin | Physical Therapist | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2020-08-11 |
1255958286 | Jennifer Leigh Hastings | Nurse Practitioner | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2020-06-25 |
1356985287 | Sericca Lynn Walters | Dietitian, Registered | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-11-04 |
1841842184 | Brooks Smallwood | Student in an Organized Health Care Education/Training Program | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-07-16 |
1326509407 | Premier Physician Staffing 2 Pllc | Emergency Medicine | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-03-29 |
1083171367 | Mitchell Steckbeck | Student in an Organized Health Care Education/Training Program | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-02-22 |
1093279630 | Emily Elizabeth Ogden | Registered Nurse | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-01-28 |
1427523109 | Prime Physician Staffing 2 Pllc | Hospitalist | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2018-10-09 |
1033632708 | Kaitlin Vaughn | Nurse Practitioner | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2017-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
Find all providers in zip 74501 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831189695 | Michael Frank Boyer | Anesthesiology | 4 E Clark Bass Blvd, Suite # 205, Mcalester, OK 74501-4285 | 2005-10-24 |
1841383171 | Mcalester Anesthesia and Respiratory Services, Inc | Anesthesiology | 4 E Clark Bass Blvd, Suite # 205, Mcalester, OK 74501-4285 | 2006-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437657590 | Advanced Pain Management Center of Oklahoma, LLC | Anesthesiology | 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 | 2018-01-24 |
1306229422 | Morgan Vanderlick Quality Pain Management, LLC | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | 2015-07-07 |
1841692274 | Precision Pain Management LLC | Anesthesiology | 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 | 2014-09-17 |
1922341635 | Physician's Acupuncture, LLC | Anesthesiology | 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331 | 2013-04-01 |
1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
1578880225 | Patricia Eugenie Jumelle | Anesthesiology | 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 | 2010-04-20 |
1538482146 | George Alhaj Md, PC | Anesthesiology | 517 Nw 154th St, Edmond, OK 73013-1154 | 2010-03-10 |
1518129733 | Adam Joseph Wallace | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2008-06-29 |
1851551790 | Shawn Michael Ellis | Anesthesiology | 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134-1717 | 2008-06-13 |
1851581185 | Emad Samir Attallah-wasif | Anesthesiology | 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 | 2007-08-01 |
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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.