Ronald G Powell MD PC
Organization Active NPI Anesthesiology Physician · Oklahoma City, OK
NPI 1366438459 · NPPES record last updated Sep 21, 2018
Key facts
- NPI
- 1366438459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 15320 (OK)
- Legal business name
- RONALD G POWELL MD PC
- Practice address
- 920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- Fax
- (405) 271-8695
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Melenie Nachimson
- Title
- Credentialing Specialist
- Phone
- (405) 775-9350
National Provider Directory
Locations
4330 W Memorial Rd
Oklahoma City, OK 73120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | 15320 | OK | Yes |
Addresses
Primary practice location
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036
Mailing address
PO Box 26901, Wp1140
Oklahoma City, OK 73126
Phone (405) 271-4351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050052959 | Other | OK | MEDICARE RR |
| 4483804 | Other | OK | AETNA |
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All providers in Oklahoma City, OK · Anesthesiology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.