Oklahoma Industrial Medicine LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OKLAHOMA INDUSTRIAL MEDICINE LLC

Practice address

4330 SE 29TH St Ste 3018
Del City, OK 73115-3335

Phone

(405) 670-8100

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Luke Moffitt

Title

Manager

Phone

(479) 725-3055

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Cynthia Gayle Johnson, APRN

  • Family Medicine Physician
  • Del City, OK
  • NPI 1235762816
  NPD
• Val Joseph Fiorazo, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Del City, OK
  • NPI 1396837787
  NPD (past)
• Jessica Nell Howard Mack, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Del City, OK
  • NPI 1811856891

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1346012978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1065",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727451065",
            "telephone_number": "479-725-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 SE 29TH ST STE 3018",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731153335",
            "telephone_number": "405-670-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA INDUSTRIAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-725-3055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Norman, DPH
• Northstar Counseling Associates, LLC
• Nancy Lisette O'Connell, A.R.N.P.
• Ocean Dental, P.C.
• Oklahoma Dental-del City
• Oklahoma Pain Institute PLLC
• Steven Pan, PHARMD
• Cristal Parkinson
• Olivia Joy Parsons
• Taren Patterson

• Specialist in Del City, OK
• Providers in Del City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.