Individual provider Active NPI

Debra Dunham, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1104872860
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0053522 Issued in OK
Practice address
1044 SW 44TH St
Suite 100
Oklahoma City, OK 73109-3609
Phone
(405) 631-4263
Fax
(405) 631-4820
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0053522 OK Primary

Addresses

Primary practice location

1044 SW 44TH St
Suite 100
Oklahoma City, OK 73109-3609

Mailing address

1044 SW 44TH St
Suite 600
Oklahoma City, OK 73109-3609
Phone (405) 631-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000838 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173589850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians

Practice addresses (Care Compare)

1125 N Porter Ave
304 Med Plaza Endo
Norman, OK 73071-6443
Phone (405) 515-2799

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0053522OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Sep 28, 2019 Accepting new patients
Choctaw County City of Hugo Hospital Authority CurrentSince Apr 2, 2018 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Canadian Valley Anesthesia Services Past Accepting new patients
Norman Anesthesia Providers, P.C. Past Accepting new patients
Okmulgee Memorial Hospital, Inc Past Accepting new patients
Kay County Clinic Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Southwestern Physician Services LLC Past Accepting new patients
Omh Home Health Past Accepting new patients
Anesthesia Associates of Oklahoma PLLC Past Accepting new patients
Central Oklahoma Anesthesia & Pain Management Services PC PastSince Sep 5, 2010 Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

1405 E Kirk St
Hugo, OK 74743
Phone (580) 317-9500

1405 E Kirk St
Ste B
Hugo, OK 74743
Phone (580) 326-6111

3101 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 364-5900

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

1125 N Porter Ave
Ste 304
Norman, OK 73071
Phone (405) 360-2799

1125 N Porter Ave
Ste 301
Norman, OK 73071
Phone (405) 360-2777

3101 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 360-2777

Organizations & group practices 11

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1104872860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 SW 44TH ST",
            "address_2": "SUITE 600",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093609",
            "telephone_number": "405-631-4263",
            "fax_number": "405-631-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 SW 44TH ST",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093609",
            "telephone_number": "405-631-4263",
            "fax_number": "405-631-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "DEBRA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0053522",
            "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 May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.