Active NPI
Edmond Hospitalists LLC
- Hospitalist Physician
- Edmond, OK
National Provider Identifier
1114117561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- EDMOND HOSPITALISTS LLC
- Practice address
- 1 S Bryant Ave
Edmond, OK 73034-6309 - Phone
- (405) 359-5370
- Fax
- (405) 359-5357
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Laverty
- Title
- Vice President
- Phone
- (615) 372-5068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1 S Bryant Ave
Edmond, OK 73034-6309
Mailing address
3 Maryland Farms
Suite 250
Brentwood, TN 37027-5005
Phone (615) 372-5068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200199760A | Medicaid | OK |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Oklahoma City, OK
- NPI 1063480309
-
- Pulmonary Disease Physician
- Oklahoma City, OK
- NPI 1639220437
-
- Pulmonary Disease Physician
- Oklahoma City, OK
- NPI 1639164163
-
- Physician Assistant
- Oklahoma City, OK
- NPI 1578867248
-
- Gastroenterology Physician
- Norman, OK
- NPI 1346381969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385510400000",
"number": "1114117561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MARYLAND FARMS",
"address_2": "SUITE 250",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275005",
"telephone_number": "615-372-5068",
"fax_number": "866-829-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S BRYANT AVE",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346309",
"telephone_number": "405-359-5370",
"fax_number": "405-359-5357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDMOND HOSPITALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2013-11-27",
"status": "A",
"authorized_official_last_name": "LAVERTY",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-372-5068",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200199760A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.