Organization Active NPI

Esec LLC

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1114952025
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0079 Issued in OK
Legal business name
ESEC LLC
Practice address
3705 NW 63Rd St
Ste 100
Oklahoma City, OK 73116-1905
Phone
(405) 463-3484
Fax
(405) 608-4259
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Mrs. Jolene J Arvieux
Title
Administrator
Phone
(405) 463-3484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0079 OK Primary

Addresses

Primary practice location

3705 NW 63Rd St
Ste 100
Oklahoma City, OK 73116-1905

Mailing address

PO Box 268867
Oklahoma City, OK 73126-8867
Phone (405) 842-4850

Other identifiers 3

IdentifierTypeStateIssuer
200089950AMedicaidOK
P00317452OtherOKMEDICARE RAILROAD
7703855OtherOKAETNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1114952025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268867",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268867",
            "telephone_number": "405-842-4850",
            "fax_number": "405-848-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST",
            "address_2": "STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161905",
            "telephone_number": "405-463-3484",
            "fax_number": "405-608-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "ARVIEUX",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-463-3484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089950A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00317452",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7703855",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "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 Nov 19, 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.

Verify at the official NPI Registry.