NPIMap

Organization Active NPI

Ibmc ER Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1295839280
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
IBMC ER PHYSICIANS
Practice address
3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone
(405) 949-3177
NPI assigned
Sep 11, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRIS BAPTIST MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Bruce Lawrence, FACHE
Title
Executive Vice President and Coo
Phone
(405) 949-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

3300 NW Expressway St
Oklahoma City, OK 73112-4418

Mailing address

3300 NW Expressway St
Oklahoma City, OK 73112-4418
Phone (405) 949-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000682 OK Part B Supplier - Clinic/Group Practice 6709963085 Receives reassigned benefits from 21 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Part of
Integris Baptist Medical Center

Locations

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1295839280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-949-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-949-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBMC ER PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS BAPTIST MEDICAL CENTER",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "405-949-3177",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 6, 2011; 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.

Verify at the official NPI Registry.