Organization Active NPI

Patriot Hyperbarics

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Bethany, OK
National Provider Identifier
1366149486
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
PATRIOT HYPERBARICS
Practice address
7815 NW 23Rd St Bethany
Bethany, OK 73008
Phone
(719) 351-5122
Fax
(619) 273-0919
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Angela Leddy
Title
VP
Phone
(719) 351-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

7815 NW 23Rd St Bethany
Bethany, OK 73008

Mailing address

7815 NW 23Rd St Bethany
Bethany, OK 73008
Phone (719) 351-5122

Other practice location 1

4200 Carriage Way
Weatherford, OK 73096-9614
Phone (405) 792-2147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808003207 OK Part B Supplier - Clinic/Group Practice 9537521570 Receives reassigned benefits from 1 practitioner
Practice locations: Bethany, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1366149486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 NW 23RD ST BETHANY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "719-351-5122",
            "fax_number": "619-273-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 NW 23RD ST BETHANY",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "73008",
            "telephone_number": "719-351-5122",
            "fax_number": "619-273-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Carriage Way",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730969614",
            "country_code": "US",
            "telephone_number": "405-792-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRIOT HYPERBARICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "LEDDY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "719-351-5122"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.