Humana Wisconsin Healthy Organization Insurance Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

HUMANA WISCONSIN HEALTHY ORGANIZATION INSURANCE CORPORATION

Practice address

210 Park Ave
Oklahoma City, OK 73102-5636

Phone

(405) 753-0156

NPI assigned

Aug 21, 2023

Last updated

Dec 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Fairbanks

Title

Market President

Phone

(405) 753-0156

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1275317323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARK AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PARK AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731025636",
            "telephone_number": "405-753-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA WISCONSIN HEALTHY ORGANIZATION INSURANCE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MARKET PRESIDENT",
        "authorized_official_telephone_number": "405-753-0156"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Allen Hulsey, DDS
• Kimberly Hultin-Amidei, LISW-CP
• Casey Hultman, MS, CCC-SLP
• Human Performance Center 2 PLLC
• Human Performance Center 5
• Christopher Shane Hume, D.O.
• John W. Hume, MD
• Michael Edward Hume, PA
• John Chris Hummel, M.D
• Rhonda K Hummel, PA-C

• Health Maintenance Organization in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Health Maintenance Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.