MERCY HOSPITAL OKLAHOMA CITY, INC. (NPI# 1679667836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679667836 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL OKLAHOMA CITY, INC. |
| Practice Address |
4300 W Memorial Rd Oklahoma City OK 73120-8304 |
| Mailing Address |
4300 W Memorial Rd Attn: Jon Vitiello Oklahoma City OK 73120-8304 |
| Practice Telephone | 4057551515 |
| Practice Fax Number | 4057523811 |
| Mailing Telephone | 4057253724 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | JONATHAN R VITIELLO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4057523724 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOSPITAL OKLAHOMA CITY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BC/BS # - ACUTE & REHAB | 000370013-001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447541701 | Mercy Hospital Oklahoma City, Inc. | Clinic/Center | 14017 N Eastern Ave, Edmond, OK 73013-5586 | 2011-04-21 |
| 1437256070 | Mercy Hospital Oklahoma City, Inc. | Home Health | 4401 W Memorial Rd Ste 143, Oklahoma City, OK 73134-1787 | 2006-09-17 |
| 1043592041 | Mercy Hospital Oklahoma City, Inc. | Home Health | 530 N Monte Vista St, Suite B, Ada, OK 74820-4675 | 2011-09-15 |
| 1487748646 | Mercy Hospital Oklahoma City, Inc. | Hospice Care, Community Based | 4401 W Memorial Rd Ste 143, Oklahoma City, OK 73134-1787 | 2006-10-03 |
| 1295829455 | Mercy Hospital Oklahoma City, Inc. | Clinic/Center | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2006-10-03 |
| 1013001270 | Mercy Hospital Oklahoma City, Inc. | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2006-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL OKLAHOMA CITY, INC. | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 |
| Street Address |
4300 W MEMORIAL RD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348171 | Astrid Elizabeth Morrison | Radiology | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2005-07-07 |
| 1922623123 | Jose Manuel Rojas | Health Educator | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2020-06-12 |
| 1558982942 | Kaylee Nicole Tyson | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2020-04-27 |
| 1417591108 | Jennifer Anne Aljoe | Physician Assistant | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-11-05 |
| 1750934469 | Jaylin Marie Brophy | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-07-22 |
| 1275193997 | Emily Duggan | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-06-14 |
| 1962061721 | Holly Keller | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-06-06 |
| 1750947842 | Maren Hinshaw | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-14 |
| 1518523786 | Kathryn Elizabeth Drakeford | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-14 |
| 1760048052 | Kaycee Hammack | Dietitian, Registered | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2019-05-13 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740716018 | Jai Shree Hanuman, LLC | Rehabilitation Unit | 6101 N Santa Fe Ave, Oklahoma City, OK 73118-7526 | 2017-05-05 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1538213764 | Mcbride Clinic Orthopedic Hospital, LLC | Rehabilitation Unit | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2007-01-23 |
| 1730288663 | Ssm Health Care of Oklahoma, Inc. | Rehabilitation Unit | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2006-09-21 |
| 1336252717 | Integris South Oklahoma City Hospital Corporation | Rehabilitation Unit | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-08-17 |
| 1356393110 | Deaconess Health System LLC | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659398618 | Comanche County Healthcare Corporation Dba Center for Occupational Hea | Rehabilitation Unit | 602 Se Wallock St, Lawton, OK 73501-5444 | 2006-07-16 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1033113097 | St. Anthony Shawnee Hospital, Inc | Rehabilitation Unit | 1900 S Gordon Cooper Dr, Shawnee, OK 74801 | 2005-06-08 |
| 1306381561 | Saint Francis Hospital Muskogee Inc | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1932442019 | Mercy Hospital Ada, Inc | Rehabilitation Unit | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-03-27 |
| 1811193964 | Linda Sue Church | Rehabilitation Unit | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2007-06-25 |
| 1003039488 | Saint Francis Hospital, Inc. | Rehabilitation Unit | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2007-04-11 |
| 1053456111 | Jane Phillips Memorial Medical Center, Inc | Rehabilitation Unit | 3500 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 | 2007-02-20 |
| 1083757926 | Muskogee Regional Medical Center LLC | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2007-02-14 |
| 1528122371 | Northeastern Health System | Rehabilitation Unit | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
| 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.