Organization Active NPI

Oklahoma Heart Hospital LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1366680795
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
OKLAHOMA HEART HOSPITAL LLC
Practice address
530 SW 80TH St
Imaging South
Oklahoma City, OK 73139-9408
Phone
(405) 488-6170
Fax
(405) 608-1550
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Dr. John Harvey, MD
Title
Ceo
Phone
(405) 608-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

530 SW 80TH St
Imaging South
Oklahoma City, OK 73139-9408

Mailing address

4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3300

Other identifiers 1

IdentifierTypeStateIssuer
200009170AMedicaidOK

Other names 1

  • Oklahoma Heart Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest City Heart Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1366680795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208382",
            "telephone_number": "405-608-3300",
            "fax_number": "405-608-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SW 80TH ST",
            "address_2": "IMAGING SOUTH",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399408",
            "telephone_number": "405-488-6170",
            "fax_number": "405-608-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA HEART HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-608-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Heart Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma Heart Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2020; 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.