Active NPI
Pain Free Anesthesia PC
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
National Provider Identifier
1124221999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0062898
- Legal business name
- PAIN FREE ANESTHESIA PC
- Practice address
- 5701 NE 107TH St
Oklahoma City, OK 73151-9558 - Phone
- (405) 769-7080
- NPI assigned
- Jun 7, 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
- Todd Russell Henderson, CRNA
- Title
- President
- Phone
- (405) 312-4145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0062898 | OK | Primary |
Addresses
Primary practice location
5701 NE 107TH St
Oklahoma City, OK 73151-9558
Mailing address
5701 NE 107TH St
Oklahoma City, OK 73151-9558
Phone (405) 796-7080
National Provider Directory
National Provider DirectoryLocations
Dept 960314
Oklahoma City, OK 73196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1124221999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 NE 107TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731519558",
"telephone_number": "405-796-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 NE 107TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731519558",
"telephone_number": "405-769-7080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN FREE ANESTHESIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-312-4145",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0062898",
"primary": true
}
],
"identifiers": [],
"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 Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.