Organization Active NPI

Plaza Medical Group PC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1295731792
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PLAZA MEDICAL GROUP PC
Practice address
3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430
Phone
(405) 948-4040
NPI assigned
Jun 21, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Paul Szymanski, CEO
Title
Ceo
Phone
(405) 948-4040

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X OK
Pain Medicine (Anesthesiology) Physician 207LP2900X OK
Family Medicine Physician 207Q00000X OK
Internal Medicine Physician 207R00000X OK
Cardiovascular Disease Physician 207RC0000X OK Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X OK
Gastroenterology Physician 207RG0100X OK
Interventional Cardiology Physician 207RI0011X OK
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X OK
Vascular Surgery Physician 2086S0129X OK
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X OK
Hospitalist Physician 208M00000X OK

Addresses

Primary practice location

3433 NW 56TH St
Ste 400
Oklahoma City, OK 73112-4430

Mailing address

3545 NW 58TH St
Ste 450
Oklahoma City, OK 73112-4726
Phone (405) 948-4040

National Provider Directory

National Provider Directory

Locations

1705 Renaissance Blvd
Edmond, OK 73013
Phone (405) 329-8262

3401 W Gore Blvd
Fl 3
Lawton, OK 73505
Phone (580) 337-4339

3433 NW 56th St
Ste 400
Oklahoma City, OK 73112
Phone (405) 946-9831

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295731792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 NW 58TH ST",
            "address_2": "STE 450",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124726",
            "telephone_number": "405-948-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124430",
            "telephone_number": "405-948-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SZYMANSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-948-4040",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 21, 2022; 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.