Organization Active NPI

Lana G Nelson DO PC

  • Surgery Physician
  • Moore, OK
National Provider Identifier
1306933726
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4264 Issued in OK
Legal business name
LANA G NELSON DO PC
Practice address
520 S Telephone Rd
Suite 101
Moore, OK 73160-5424
Phone
(405) 735-2049
Fax
(405) 563-9467
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Lana Gail Nelson, DONPI 1679521553
Title
President
Phone
(405) 735-2049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 4264 OK Primary

Addresses

Primary practice location

520 S Telephone Rd
Suite 101
Moore, OK 73160-5424

Mailing address

PO Box 721675
Norman, OK 73070-8281
Phone (405) 735-2049

Other identifiers 1

IdentifierTypeStateIssuer
20074780AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1306933726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721675",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708281",
            "telephone_number": "405-735-2049",
            "fax_number": "405-563-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S TELEPHONE RD",
            "address_2": "SUITE 101",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605424",
            "telephone_number": "405-735-2049",
            "fax_number": "405-563-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANA G NELSON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-735-2049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20074780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.