Individual provider Active NPI

Tanya S Maclaren, D.O.

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1063400141
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
3587 Issued in OK
Practice address
3048 SW 89TH St
Ste a
Oklahoma City, OK 73159-6359
Phone
(580) 272-0485
Fax
(580) 332-5750
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3587 OK Primary

Addresses

Primary practice location

3048 SW 89TH St
Ste a
Oklahoma City, OK 73159-6359

Mailing address

PO Box 108810
Oklahoma City, OK 73101-8810
Phone (580) 272-0485

Other identifiers 4

IdentifierTypeStateIssuer
100189620AMedicaidOK
175779900OtherOKDEPT OF LABOR
731611350001OtherOKBCBS OF OK
7437254OtherOKAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000398 OK Practitioner - Anesthesiology 2860579224 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3587OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hpi Physicians LLC CurrentSince Dec 31, 2020 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Northstar Anesthesia of Oklahoma, PLLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Kansas Anesthesia Providers, LLC Past Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

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

9800 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 419-2980

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

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1063400141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108810",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018810",
            "telephone_number": "580-272-0485",
            "fax_number": "580-332-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 SW 89TH ST",
            "address_2": "STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596359",
            "telephone_number": "580-272-0485",
            "fax_number": "580-332-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAREN",
        "first_name": "TANYA",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "3587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189620A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "175779900",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OK",
            "identifier": "731611350001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7437254",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.