Uhs Oklahoma City LLC

Organization Active NPI Psychiatry Physician · Oklahoma City, OK

NPI 1083985600 · NPPES record last updated Mar 31, 2021

Key facts

NPI
1083985600
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
License
4246 (OK)
Legal business name
UHS OKLAHOMA CITY LLC
Practice address
6501 NE 50TH St
Oklahoma City, OK 73141-9118
Phone
(405) 605-6111
Fax
(405) 424-0457
NPI assigned
Jan 13, 2012
Organization subpart
No

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150427002122 OK Part B Supplier - Clinic/Group Practice 6507878113 Receives reassigned benefits from 14 practitioners
Practice locations: Bethany, OK; Oklahoma City, OK

National Provider Directory

Tax ID family
Uhs Oklahoma City LLC (6 organizations share this tax ID)

Locations

6505 NE 50th St
Oklahoma City, OK 73141
Phone (405) 605-6111

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2084P0800X 4246 OK Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X 1444 OK
Pediatric Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0200X 47346 OK

Addresses

Primary practice location

6501 NE 50TH St
Oklahoma City, OK 73141-9118

Mailing address

6501 NE 50TH St
Oklahoma City, OK 73141-9118
Phone (405) 605-6111

Other identifiers

IdentifierTypeStateIssuer
100544890CMedicaidOK
200085660BMedicaidOK
200085660DMedicaidOK
200085660AMedicaidOK
200085660CMedicaidOK

Other names

  • Cedar Ridge Behavioral Hospital Doing business as

Other providers in Oklahoma City, OK

All providers in Oklahoma City, OK · Psychiatry Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.