NPIMap

Organization Active NPI

Baptist Healthcare of Oklahoma

  • Emergency Medicine Physician
  • Grove, OK
National Provider Identifier
1316915564
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BAPTIST HEALTHCARE OF OKLAHOMA
Practice address
1310 S Main St
Grove, OK 74344-5304
Phone
(918) 786-2243
Fax
(918) 787-3643
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. David H Zych
Title
Cfo
Phone
(918) 786-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1310 S Main St
Grove, OK 74344-5304

Mailing address

1310 S Main St
Grove, OK 74344-5304
Phone (918) 786-2243

Other identifiers 1

IdentifierTypeStateIssuer
200059690AMedicaidOK

Other names 1

  • Integris Grove General Hospital ER Physicians Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1310 S Main St
Grove, OK 74344
Phone (918) 787-3630

310 2nd Ave SW
Ste 170A
Miami, OK 74354

310 2nd Ave SW
Ste 160B
Miami, OK 74354

310 2nd Ave SW
Ste 170B
Miami, OK 74354

310 2nd Ave SW
Ste 160
Miami, OK 74354

Dept 2243
Tulsa, OK 74182

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1316915564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445304",
            "telephone_number": "918-786-2243",
            "fax_number": "918-787-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445304",
            "telephone_number": "918-786-2243",
            "fax_number": "918-787-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTHCARE OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ZYCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "918-786-2243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integris Grove General Hospital ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.