Integris Blackwell Regional Hospital

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

PENDING Issued in OK

Legal business name

INTEGRIS BLACKWELL REGIONAL HOSPITAL

Doing business as

Anesthesia Services of Blackwell

Practice address

710 S 13TH St
Blackwell, OK 74631-3700

Phone

(580) 363-2311

Fax

(580) 363-9463

NPI assigned

Jun 24, 2009

Last updated

Apr 13, 2011By 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

Jeffrey M Brown

Title

VP Regional Phy Pract MGMT

Phone

(580) 548-1367

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anesthesia Services of Blackwell Doing business as

Locations

Practitioners 2

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.

• Ronald Lee Matheson, CRNA

  • Certified Registered Nurse Anesthetist
  • Blackwell, OK
  • NPI 1184799629

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Don R Hirschman, CRNA

  • Certified Registered Nurse Anesthetist
  • Wichita, KS
  • NPI 1376513135

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1316175755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960381",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960381",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746313700",
            "telephone_number": "580-363-2311",
            "fax_number": "580-363-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BLACKWELL REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REGIONAL PHY PRACT MGMT",
        "authorized_official_telephone_number": "580-548-1367"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700340D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia Services of Blackwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Joseph Hilmi, DMD
• Jay Edward Hopkins, PHARM.D.
• Hutton Pharmacy Inc (Hutton Pharmacy)
• Dennis William Hutton
• Integris Blackwell Home Health & Hospice (Integris Blackwell Regional Hospital Home Health)
• Sherryl Ann Jackson, L.P.C.
• Jeffrey R Shuart MD PC
• Lisa Ann Kahle, D.C.
• Mohammad A Kandar, DDS
• Kay County Oklahoma Hospital Company LLC

• Certified Registered Nurse Anesthetist in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.