Okc GYN/OB LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

OKC GYN/OB LLC

Practice address

11200 N Portland Ave FL 2
Oklahoma City, OK 73120-5045

Phone

(405) 936-1151

Fax

(405) 936-1001

NPI assigned

Apr 14, 2026

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

OKC GYN/OB LLCAs reported in NPPES

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

Authorized official

Name

Ms. Pam Jean Hodges

Title

Billing Office

Phone

(405) 936-1151

Specialties & licenses 1

Addresses

Part of

Okc Gynob LLC

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1083557839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 N PORTLAND AVE FL 2",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 N PORTLAND AVE FL 2",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205045",
            "telephone_number": "405-936-1151",
            "fax_number": "405-936-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC GYN/OB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OKC GYN/OB LLC",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BILLING OFFICE",
        "authorized_official_telephone_number": "405-936-1151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.