Organization Active NPI

Pahl Pharmaceutical Professionals

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Oklahoma City, OK
National Provider Identifier
1043854300
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
PAHL PHARMACEUTICAL PROFESSIONALS
Practice address
3535 NW 58TH St Ste 850E
Oklahoma City, OK 73112-4804
Phone
(405) 525-2222
Fax
(405) 525-9800
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Mark A Pahl
Title
Ceo
Phone
(405) 525-2222

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X
Research Clinic/Center 261QR1100X

Addresses

Primary practice location

3535 NW 58TH St Ste 850E
Oklahoma City, OK 73112-4804

Mailing address

3535 NW 58TH St Ste 850E
Oklahoma City, OK 73112-4804
Phone (405) 525-2222

National Provider Directory

National Provider Directory

Locations

3535 NW 58th St
Ste 850E
Oklahoma City, OK 73112
Phone (405) 525-2222

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1043854300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 850E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124804",
            "telephone_number": "405-525-2222",
            "fax_number": "405-525-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 NW 58TH ST STE 850E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124804",
            "telephone_number": "405-525-2222",
            "fax_number": "405-525-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHL PHARMACEUTICAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "PAHL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-525-2222"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2024; 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.