Organization Active NPI

Neuropathy Treatments of McAlester, LLC

  • Dermatology Physician
  • McAlester, OK
National Provider Identifier
1174095038
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NEUROPATHY TREATMENTS OF MCALESTER, LLC
Practice address
320 E Carl Albert Pkwy # D1
McAlester, OK 74501-5061
Phone
(918) 426-6005
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Sandy Bahe
Title
Managing Member
Phone
(918) 426-6005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X

Addresses

Primary practice location

320 E Carl Albert Pkwy # D1
McAlester, OK 74501-5061

Mailing address

320 E Carl Albert Pkwy # B1
McAlester, OK 74501-5061
Phone (918) 426-6005

Other identifiers 1

IdentifierTypeStateIssuer
100748320AMedicaidOK

National Provider Directory

National Provider Directory

Locations

320 E Carl Albert Pkwy
Ste B1
McAlester, OK 74501

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1174095038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E CARL ALBERT PKWY # B1",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015061",
            "telephone_number": "918-426-6005",
            "fax_number": "918-426-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E CARL ALBERT PKWY # D1",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015061",
            "telephone_number": "918-426-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY TREATMENTS OF MCALESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "BAHE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-426-6005"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.