Organization Active NPI

Pain Free Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1124221999
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0062898 Issued in OK
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

Updated by the provider on Aug 29, 2007

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.