Organization Active NPI

Northwest Anesthesia PC

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1003875469
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTHWEST ANESTHESIA PC
Practice address
3300 NW Expressway
2ND Floor, Department of Anesthesiology
Oklahoma City, OK 73112-4418
Phone
(405) 951-2815
Fax
(405) 951-2495
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bradley J Gawey, M.D.
Title
Medical Director
Phone
(405) 947-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3300 NW Expressway
2ND Floor, Department of Anesthesiology
Oklahoma City, OK 73112-4418

Mailing address

PO Box 26168
Oklahoma City, OK 73126-0168
Phone (405) 947-8585

Other identifiers 2

IdentifierTypeStateIssuer
100743880AMedicaidOK
175289900OtherDOL GRP NUMBER

National Provider Directory

National Provider Directory

Locations

9024 N May Ave
NW Surgical Hospital
Oklahoma City, OK 73120
Phone (405) 848-1918

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1003875469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26168",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260168",
            "telephone_number": "405-947-8585",
            "fax_number": "405-948-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "address_2": "2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-951-2815",
            "fax_number": "405-951-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "GAWEY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-947-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743880A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL GRP NUMBER",
            "identifier": "175289900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.