OKLAHOMA CITY ASC LLC (NPI# 1740504018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740504018 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CITY ASC LLC |
| Other Organization Name | THE ENDOSCOPY CENTER AT MERIDIAN |
| Practice Address |
13313 N Meridian Ave Building B Oklahoma City OK 73120-8380 |
| Practice Telephone | 4057554140 |
| Practice Fax Number | 4057554072 |
| Mailing Telephone | 4057554140 |
| Mailing Fax Number | 4057554072 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | MS. BILLIE A. PAYNE (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| The Endoscopy Center at Meridian | Doing Business As Name - Organization |
| Street Address |
13313 N MERIDIAN AVE BUILDING B |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164163 | Timothy L Grode | Internal Medicine | 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 | 2005-09-12 |
| 1134403157 | Linda Lea, Aprn-cnp, Pllc | Nurse Practitioner | 13313 N Meridian Ave, Suite A-3, Oklahoma City, OK 73120-8380 | 2011-10-10 |
| 1679767594 | Cohlmia Orthodontics | Dentist | 13313 N Meridian Ave, Suite D-4, Oklahoma City, OK 73120-8380 | 2007-09-04 |
| 1942493747 | Ralph I Kanaan | Internal Medicine | 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 | 2007-08-24 |
| 1639220437 | Tarek A Dernaika | Internal Medicine | 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 | 2007-01-16 |
| 1285733345 | Shawn Keith Lee | Internal Medicine | 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 | 2006-09-22 |
| 1346349404 | Stephen Neil Adler | Internal Medicine | 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 | 2006-09-22 |
| 1427067628 | Seyed M Alamian | Internal Medicine | 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 | 2006-08-05 |
| 1265455604 | Thara Rani Damodaran | Internal Medicine | 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 | 2006-07-26 |
| 1366496218 | John R Harkess | Internal Medicine | 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 | 2006-05-22 |
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638727 | Kylie Ann Gross | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext Ste B103, Oklahoma City, OK 73114-7408 | 2020-01-09 |
| 1093172975 | Audrey Gauthe | Nurse Anesthetist, Certified Registered | 6529 Bent Wood Dr, Oklahoma City, OK 73169-6226 | 2016-01-22 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| 1003245481 | Traci Renee Wilmarth | Nurse Anesthetist, Certified Registered | 9713 Lakecrest Dr, Oklahoma City, OK 73159-6777 | 2013-11-05 |
| 1710226584 | Kay Lynn Woods | Nurse Anesthetist, Certified Registered | 7344 Nw 148th St, Oklahoma City, OK 73142-7858 | 2013-02-13 |
| 1154671097 | Desiree L Herring | Nurse Anesthetist, Certified Registered | 2317 Sw 137th St, Oklahoma City, OK 73170-5142 | 2012-09-19 |
| 1245537257 | William Todd Dupler | Nurse Anesthetist, Certified Registered | 3705 Nw 63rd St Ste 100, Oklahoma City, OK 73116-1937 | 2011-02-28 |
| 1699072702 | John Le | Nurse Anesthetist, Certified Registered | 301 N Walker Ave Apt 9106, Oklahoma City, OK 73102-1876 | 2011-02-25 |
| 1033426754 | Debra Dee Dunham Crna PC | Nurse Anesthetist, Certified Registered | 9801 S Penn Ave, Oklahoma City, OK 73159-6925 | 2010-09-01 |
| 1083927057 | Jerry Allen Gooch | Nurse Anesthetist, Certified Registered | 921 Ne 13th St., Va Medical Center, Oklahoma City, OK 73104-5028 | 2010-07-20 |
| 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.