Active NPI
Magnum Health Care, Inc.
- Emergency Medicine Physician
- Owasso, OK
National Provider Identifier
1114257508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MAGNUM HEALTH CARE, INC.
- Practice address
- 12451 E 100TH St N
Owasso, OK 74055-4600 - Phone
- (918) 274-5000
- NPI assigned
- Jan 6, 2010
- Last updated
- Jan 6, 2010
- 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. Randy Hamil
- Title
- Vice President, Revenue Cycle
- Phone
- (918) 744-2949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
12451 E 100TH St N
Owasso, OK 74055-4600
Mailing address
1923 S Utica Ave
Davis Tower, 14TH Floor
Tulsa, OK 74104-6520
National Provider Directory
National Provider DirectoryLocations
1923 S Utica Ave
Fl 14
Tulsa, OK 74104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1114257508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"address_2": "DAVIS TOWER, 14TH FLOOR",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12451 E 100TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740554600",
"telephone_number": "918-274-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNUM HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "HAMIL",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
"authorized_official_telephone_number": "918-744-2949",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.