NPIMap

Organization Active NPI

State of Oklahoma

Doing business as Oklahoma State Department of Health TB Clinic

  • Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1114044369
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
STATE OF OKLAHOMA
Doing business as
Oklahoma State Department of Health TB Clinic
Practice address
123 Robert S Kerr Ave Ste 1702
Oklahoma City, OK 73102-6406
Phone
(405) 426-8650
Fax
(405) 900-7498
NPI assigned
Mar 23, 2007
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Mrs. Gitanjali Pai, MD
Title
Chief Medical Officer
Phone
(405) 426-8000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Federal Public Health Clinic/Center 261QP0904X NU

Addresses

Primary practice location

123 Robert S Kerr Ave Ste 1702
Oklahoma City, OK 73102-6406

Mailing address

123 Robert S Kerr Ave Ste 1702
Oklahoma City, OK 73102-6406
Phone (405) 426-8650

Other identifiers 1

IdentifierTypeStateIssuer
100728660CMedicaidOK

Other names 1

  • Oklahoma State Department of Health TB Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oklahoma Forensic Center140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

1000 NE 10th St
Oklahoma City, OK 73117
Phone (405) 271-4476

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1114044369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ROBERT S KERR AVE STE 1702",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026406",
            "telephone_number": "405-426-8650",
            "fax_number": "405-900-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ROBERT S KERR AVE STE 1702",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731026406",
            "telephone_number": "405-426-8650",
            "fax_number": "405-900-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "GITANJALI",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "405-426-8000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728660C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma State Department of Health TB Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2024; 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.