LAKESIDE WOMEN'S HOSPITAL, LLC (NPI# 1639170699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639170699 |
| Entity Type | Organization |
| Organization Name | LAKESIDE WOMEN'S HOSPITAL, LLC |
| Practice Address |
11200 N Portland Ave Oklahoma City OK 73120-5045 |
| Practice Telephone | 4059861500 |
| Practice Fax Number | 4059361579 |
| Mailing Telephone | 4059861500 |
| Mailing Fax Number | 4059361579 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | MR. GREG MEYERS (SYSTEM VICE PRESIDENT) |
| Authorized Official Telephone | 4059493774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2339 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS | 000370199001 | 01 |
| OK | 100745350B | 05 | |
| OK | 100745350A | 05 |
| Street Address |
11200 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954504 | Lisa J Wasemiller-smith | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2005-07-05 |
| 1659912855 | Elizabeth Ann Bennett | Family Medicine | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2019-09-30 |
| 1487197232 | Cody Blackmon | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-11-28 |
| 1467906305 | Alisha Wilke | Nurse Practitioner | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-08-09 |
| 1902270358 | Melissa Daree Willman | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-11-23 |
| 1710365390 | Ian Gray | Anesthesiology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-05-14 |
| 1902245988 | Alicia J Jackson | Massage Therapist | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2013-06-23 |
| 1952650400 | Regina Lynn Webber | Nurse Practitioner | 11200 N Portland Ave, 2nd Floor, Oklahoma City, OK 73120-5045 | 2012-08-30 |
| 1972885044 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-09-15 |
| 1720375363 | Lacy Parker | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-07-04 |
| 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.