NPIMap

Organization Active NPI

Oakwood Springs Physician Group LLC

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1326588807
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
OAKWOOD SPRINGS PHYSICIAN GROUP LLC
Practice address
13101 Memorial Springs CT
Oklahoma City, OK 73114-2226
Phone
(405) 438-3000
Fax
(405) 751-6496
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OAKWOOD SPRINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Paul Fridenstine
Title
Cfo
Phone
(405) 438-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

13101 Memorial Springs CT
Oklahoma City, OK 73114-2226

Mailing address

13101 Memorial Springs CT
Oklahoma City, OK 73114-2226

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170512000661 OK Part B Supplier - Clinic/Group Practice 1658658026 Receives reassigned benefits from 37 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Part of
Oakwood Springs LLC

Member of 2

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

Locations

13101 Memorial Springs Ct
Oklahoma City, OK 73114
Phone (405) 438-3000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1326588807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 MEMORIAL SPRINGS CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 MEMORIAL SPRINGS CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731142226",
            "telephone_number": "405-438-3000",
            "fax_number": "405-751-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD SPRINGS PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OAKWOOD SPRINGS LLC",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "FRIDENSTINE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-438-3000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "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 Mar 2, 2017; 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.