Individual provider Active NPI

Nathaniel Sharp, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1114211406
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
28569 Issued in OK
Practice address
750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone
(405) 271-4351
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 28569 OK Primary

Addresses

Primary practice location

750 NE 13TH St
Oklahoma City, OK 73104-5010

Mailing address

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone (405) 271-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831001263 ID Practitioner - Anesthesiology 2163730441 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Virginia Commonwealth University, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consulting Partners Idaho PCGroup PAC ID 5092164806, 8 clinicians
West Valley Medical Associates IncGroup PAC ID 9931467289, 28 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 459-4641

Hospital & facility affiliations

  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28569OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Anesthesia, PA Anesthesiology CurrentSince May 12, 2018 Accepting new patients
Boise Anesthesia, P a Anesthesiology CurrentSince May 12, 2018 Accepting new patients
West Valley Medical Associates Inc Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Anesthesia Associates of Boise, P.a. CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Consulting Partners Idaho, PC Anesthesiology CurrentSince Nov 13, 2023 Accepting new patients

Locations

338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

Interoperability endpoints

  • Direct secure messaging: nsharp1564455@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1114211406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-271-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045010",
            "telephone_number": "405-271-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "NATHANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "28569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.