Oklahoma Sleep Institute Clinic - Shawnee

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

OKLAHOMA SLEEP INSTITUTE CLINIC - SHAWNEE

Practice address

14000 N Portland Ave
Suite 201
Oklahoma City, OK 73134-4003

Phone

(405) 606-2727

Fax

(405) 606-7040

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Mike Gold

Title

Ceo

Phone

(405) 606-2727

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1093077968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344003",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344003",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SLEEP INSTITUTE CLINIC - SHAWNEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-606-2727"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Senior Podiatry Services, P.C.
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• Oklahoma Shoulder Center, PLLC
• Oklahoma Sleep & Wellness Clinic, PLLC
• Oklahoma Sleep Associates Physician Services
• Oklahoma Sleep Institute Clinic - South Okc
• Oklahoma Sleep Institute Clinic - Up
• Oklahoma Sleep Institute Clinic Okc LLC Osi Clinic
• Oklahoma Sleep Institute LLC
• Oklahoma Sleep Lung and Critical Care PLLC

• Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.