Active NPI
Marianna Gail Eubanks, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 113167
- Practice address
- 5501 N Portland Ave
Oklahoma City, OK 73112-2074 - Phone
- (405) 604-6000
- NPI assigned
- Jan 6, 2020
- Last updated
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2024035798 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 113167 | OK | Primary |
Addresses
Primary practice location
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Mailing address
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000
Other practice location 1
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | MISSOURI BAPTIST MEDICAL CENTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11200 N Portland Ave
Oklahoma City, OK 73120-5045
Phone (888) 324-7432
1705 S Renaissance Blvd
Suite 120
Edmond, OK 73013-3043
Phone (405) 715-4496
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131
21 NE 3Rd St
Oklahoma City, OK 73104-2205
Phone (866) 471-8720
3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone (405) 949-3011
9800 Broadway Ext
Suite 204
Oklahoma City, OK 73114-6303
Phone (405) 419-5926
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024035798 | MO | MD | Certified Registered Nurse Anesthetist |
| 113167 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hpi Physicians LLC | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Missouri Baptist Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Specialists of Oklahoma LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Deaconess Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients |
Locations
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000
3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
5925 NW 139th St
Oklahoma City, OK 73142
Phone (405) 621-8800
8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1801252952
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Edmond, OK
- NPI 1205152600
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1912432048
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1609658905
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Hospital
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1275593337
-
dba OneCore Health
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1851344188
-
dba Integris Southwest Breast Center
- Mammography Clinic/Center
- Oklahoma City, OK
- NPI 1336155779
Hospital
-
dba Integris Jim Thorpe Inpatient Rehabilitation
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1336252717
-
dba Integris Health Southwest Medical Center
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1457372625
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1639170699
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1114566270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122074",
"telephone_number": "405-604-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122074",
"telephone_number": "405-604-6000"
}
],
"practiceLocations": [
{
"address_1": "3015 N Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312329",
"country_code": "US",
"telephone_number": "314-996-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUBANKS",
"first_name": "MARIANNA",
"middle_name": "GAIL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-06",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2024035798",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "113167",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"endpointDescription": "BJC",
"affiliationName": "MISSOURI BAPTIST MEDICAL CENTER",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3015 N Ballas Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 19, 2024; 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.