Active NPI
Draper Anesthesia Services, PC
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
National Provider Identifier
1245264241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 67878
- Legal business name
- DRAPER ANESTHESIA SERVICES, PC
- Practice address
- 14000 N Portland Ave Ste 102
Oklahoma City, OK 73134 - Phone
- (405) 418-4800
- Fax
- (405) 418-4820
- NPI assigned
- Jul 10, 2006
- 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
- Cheri Moore
- Title
- Credentialing Specialist
- Phone
- (405) 608-5329
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 67878 | OK | Primary |
Addresses
Primary practice location
14000 N Portland Ave Ste 102
Oklahoma City, OK 73134
Mailing address
PO Box 272605
Oklahoma City, OK 73137-2605
Phone (405) 418-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG1017 | Other | OK | MEDICARE RR |
| 20418590001 | Other | OK | BC/BS |
| 200075290A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500
14000 N Portland Ave
Ste 102
Oklahoma City, OK 73134
Phone (405) 608-5329
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1184680357
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tulsa, OK
- NPI 1043647423
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1619136751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527724800000",
"number": "1245264241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 272605",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731372605",
"telephone_number": "405-418-4800",
"fax_number": "405-418-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 N PORTLAND AVE STE 102",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73134",
"telephone_number": "405-418-4800",
"fax_number": "405-418-4820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAPER ANESTHESIA SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2018-05-31",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "CHERI",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "405-608-5329"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "67878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DG1017",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "20418590001",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200075290A",
"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 31, 2018; 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.