NPIMap

Organization Active NPI

Oklahoma Cardiovascular Associates, PC

Doing business as Cardiac Ground Transport

  • Land Ambulance
  • Oklahoma City, OK
National Provider Identifier
1043291099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC
Doing business as
Cardiac Ground Transport
Practice address
4050 West Memorial Rd
Third Floor
Oklahoma City, OK 73120
Phone
(405) 608-3800
Fax
(405) 608-3838
NPI assigned
Nov 8, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Klakulak
Title
Cfo
Phone
(406) 608-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X OK Primary

Addresses

Primary practice location

4050 West Memorial Rd
Third Floor
Oklahoma City, OK 73120

Mailing address

4050 West Memorial Rd
Third Floor
Oklahoma City, OK 73120
Phone (405) 608-3800

Other names 1

  • Cardiac Ground Transport Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Cardiovascular Associates PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043291099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 WEST MEMORIAL RD",
            "address_2": "THIRD FLOOR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 WEST MEMORIAL RD",
            "address_2": "THIRD FLOOR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-608-3800",
            "fax_number": "405-608-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLAKULAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "406-608-3800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Ground Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.