NPIMap

Organization Active NPI

Greater Tulsa Anesthesiologists PLLC

  • Anesthesiology Physician
  • Tulsa, OK
National Provider Identifier
1376538140
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16586 Issued in OK
Legal business name
GREATER TULSA ANESTHESIOLOGISTS PLLC
Practice address
9423 E 95TH CT
Tulsa, OK 74133-5805
Phone
(918) 496-2400
Fax
(405) 948-6507
NPI assigned
Sep 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dale Edwin Dautenhahn, MDNPI 1649265422
Title
Authorized Official
Phone
(918) 496-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 16586 OK Primary

Addresses

Primary practice location

9423 E 95TH CT
Tulsa, OK 74133-5805

Mailing address

Dept 1654
Tulsa, OK 74182-0001
Phone (405) 947-8585

National Provider Directory

National Provider Directory

Locations

Dept 1654
Tulsa, OK 74182

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1376538140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1654",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "405-947-8585",
            "fax_number": "405-948-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9423 E 95TH CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335805",
            "telephone_number": "918-496-2400",
            "fax_number": "405-948-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER TULSA ANESTHESIOLOGISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DAUTENHAHN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-496-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "16586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.