Organization Active NPI

Sleep Disorder Centers, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1053445163
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
SLEEP DISORDER CENTERS, INC
Practice address
3613 NW 56TH St
Suite 380
Oklahoma City, OK 73112-4526
Phone
(405) 600-1950
Fax
(405) 600-1949
NPI assigned
Mar 14, 2007
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Shelli M Wall
Title
Insurance Contracting Specialist
Phone
(405) 600-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary

Addresses

Primary practice location

3613 NW 56TH St
Suite 380
Oklahoma City, OK 73112-4526

Mailing address

PO Box 5576
Edmond, OK 73083-5576
Phone (405) 600-1950

National Provider Directory

National Provider Directory

Locations

3613 NW 56th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 948-6355

3613 NW 56th St
Ste 380
Oklahoma City, OK 73112
Phone (405) 285-4914

3501 E 31st St
Tulsa, OK 74135
Phone (918) 607-1133

3510 E 31st St
Tulsa, OK 74135
Phone (918) 728-3353

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1053445163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5576",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730835576",
            "telephone_number": "405-600-1950",
            "fax_number": "405-600-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 NW 56TH ST",
            "address_2": "SUITE 380",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124526",
            "telephone_number": "405-600-1950",
            "fax_number": "405-600-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DISORDER CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "405-600-1950"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 16, 2009; 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.