DEACONESS HEALTH SYSTEM LLC (NPI# 1700824588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700824588 |
| Entity Type | Organization |
| Organization Name | DEACONESS HEALTH SYSTEM LLC |
| Other Organization Name | DEACONESS HOSPITAL PROGRESSIVE CARE CENTER |
| Practice Address |
5501 N Portland Ave Oklahoma City OK 73112-2074 |
| Practice Telephone | 4056046000 |
| Practice Fax Number | 4056044437 |
| Mailing Telephone | 4056046000 |
| Mailing Fax Number | 4056044437 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEACONESS HEALTH SYSTEM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2294 | OK | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100699370A | 05 |
| Other Name | Type Code |
|---|---|
| Deaconess Hospital Progressive Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619915493 | Deaconess Health System LLC | Home Health | 7600 Nw 23rd St, Bethany, OK 73008-4944 | 2006-06-03 |
| 1356393110 | Deaconess Health System LLC | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-17 |
| 1740231752 | Deaconess Health System LLC | General Acute Care Hospital | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-15 |
| 1659322667 | Deaconess Health System LLC | Psychiatric Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-05-15 |
| Street Address |
5501 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364422 | Michael A Thayer | Physician Assistant | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2005-05-24 |
| 1255966685 | Traci Mcclay | Nurse Practitioner | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-03-05 |
| 1154954873 | Nathan C Defee | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-02-20 |
| 1114566270 | Marianna Gail Eubanks | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2020-01-06 |
| 1104475151 | William R Low | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-09-11 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1831663657 | Integris Baptist Medical Center, Inc | Rehabilitation Unit | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-01-15 |
| 1720563711 | Austin Graham Trent | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2018-09-26 |
| 1912432048 | Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-26 |
| 1053844365 | Ellen Mclain | Registered Nurse | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1376775957 | Manor Care of Oklahoma City (northwest) LLC | Skilled Nursing Facility | 5301 N Brookline Ave, Oklahoma City, OK 73112-3516 | 2009-08-17 |
| 1902030570 | City of Pauls Valley | Skilled Nursing Facility | 2333 Tuscany Blvd, Oklahoma City, OK 73120-3702 | 2009-05-11 |
| 1982885265 | Lutheran Senior Citizens, Inc | Skilled Nursing Facility | 7707 W Britton Rd, Oklahoma City, OK 73132-1512 | 2007-11-15 |
| 1124156153 | Bellecare Inc. | Skilled Nursing Facility | 2801 Nw 61st St, Oklahoma City, OK 73112-7007 | 2007-03-01 |
| 1376610972 | Windsor Hills Nursing Center, LLC | Skilled Nursing Facility | 2416 N Ann Arbor Ave, Oklahoma City, OK 73127-1811 | 2006-11-29 |
| 1407923824 | Warr Acres Nursing Center, LLC | Skilled Nursing Facility | 6501 N Macarthur Blvd, Oklahoma City, OK 73132-6505 | 2006-11-29 |
| 1851487508 | Edwards Redeemer Nursing Center, LLC | Skilled Nursing Facility | 1530 Ne Grand Blvd, Oklahoma City, OK 73117-5212 | 2006-10-04 |
| 1295830933 | Brookwood Nursing Center, LLC | Skilled Nursing Facility | 940 Sw 84th St, Oklahoma City, OK 73139-9255 | 2006-09-14 |
| 1164527727 | Sooner Geriatrics, LLC | Skilled Nursing Facility | 1913 Ne 50th St, Oklahoma City, OK 73111-7003 | 2006-09-14 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.