Active NPI
Erin N Goranson MD PLLC
- Pediatrics Physician
- Oklahoma City, OK
National Provider Identifier
1174397905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ERIN N GORANSON MD PLLC
- Practice address
- 1000 N Lee Ave
Oklahoma City, OK 73102-1036 - Phone
- (806) 355-9595
- NPI assigned
- Nov 13, 2023
- 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
- Erin N Goranson, MD
- Title
- Owner/MD
- Phone
- (405) 831-2569
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Mailing address
2592 Sedonia CT
Edmond, OK 73034-7558
Phone (405) 831-2569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Oklahoma City, OK
- NPI 1760707863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699833600000",
"number": "1174397905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2592 SEDONIA CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730347558",
"telephone_number": "405-831-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "806-355-9595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIN N GORANSON MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A",
"authorized_official_last_name": "GORANSON",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "405-831-2569",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"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 Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.