Active NPI
Max Cieminski, DO
- Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2852
- Practice address
- 5501 N Portland Ave
Oklahoma City, OK 73112-2074 - Phone
- (405) 842-4464
- Fax
- (405) 841-5905
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2852 | OK | Primary |
Addresses
Primary practice location
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Mailing address
6430 N Western Ave
Oklahoma City, OK 73116-7322
Phone (405) 841-5905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100090840A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Oklahoma State University College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000
Hospital & facility affiliations
- Integris Baptist Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2852 | OK | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma City Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Deaconess Anesthesia Services LLC | Anesthesiology | Current | Accepting new patients |
| Emergency Physician Associates of Maryland, P.C. | Past | Accepting new patients | |
| Richard J Langerman, D.O., P.C. | Anesthesiology | Past | Accepting new patients |
Locations
6430 N Western Ave
Oklahoma City, OK 73116
Phone (405) 841-5905
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
5401 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-4160
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1912432048
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1295688976
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1629038450
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1023201837
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1740213453
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Oklahoma City, OK
- NPI 1598837221
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1659443372
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1831103654
-
- Psychiatric Hospital Unit
- Spencer, OK
- NPI 1881760759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1194734616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6430 N WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731167322",
"telephone_number": "405-841-5905",
"fax_number": "405-840-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122074",
"telephone_number": "405-842-4464",
"fax_number": "405-841-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIEMINSKI",
"first_name": "MAX",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "2852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100090840A",
"state": "OK"
}
],
"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 May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.