NPIMap

Organization Active NPI

Cleveland Area Hospital Authority

  • General Practice Physician
  • Cleveland, OK
National Provider Identifier
1174774855
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLEVELAND AREA HOSPITAL AUTHORITY
Practice address
1400 W Pawnee St
Cleveland, OK 74020-3020
Phone
(918) 358-3588
NPI assigned
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Authorized official

Name
Sabrina Aldridge
Title
Clinic Manager
Phone
(918) 358-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1400 W Pawnee St
Cleveland, OK 74020-3020

Mailing address

1400 W Pawnee St
Cleveland, OK 74020-3020
Phone (918) 358-3588

Other names 1

  • Lake Area Medical Associates Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lakearea@cahs.cernerdirect.com
Direct Messaging Address CAHRIRVING@cahs.cernerdirect.com

National Provider Directory

National Provider Directory

Locations

1400 W Pawnee St
Ste 100
Cleveland, OK 74020

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1174774855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W PAWNEE ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203020",
            "telephone_number": "918-358-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND AREA HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "918-358-3588"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakearea@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Lake Area",
            "address_1": "1400 W Pawnee St",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740203020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CAHRIRVING@cahs.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Robin Irving",
            "address_1": "1400 W Pawnee St",
            "city": "Cleveland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740203020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lake Area Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Area Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.