Active NPI
Pahl Pharmaceutical Professionals
- Addiction Medicine (Psychiatry & Neurology) Physician
- Oklahoma City, OK
National Provider Identifier
1043854300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary | ||
| Addiction Psychiatry Physician | 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 DirectoryLocations
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.