Organization Active NPI

Norman Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Norman, OK
National Provider Identifier
1386892230
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORMAN ENDOSCOPY CENTER, LLC
Practice address
1515 N Porter Ave Ste 100
Norman, OK 73071-6650
Phone
(405) 366-0969
Fax
(405) 366-1839
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Dr. Robert Holbrook, M.D.NPI 1053352054
Title
Market President
Phone
(405) 366-8619

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1515 N Porter Ave Ste 100
Norman, OK 73071-6650

Mailing address

1125 N Porter Ave
Suite 206
Norman, OK 73071-6446
Phone (405) 366-8619

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090819000699 OK Part B Supplier - Ambulatory Surgical Center 5092869479 Practice locations: Norman, OK

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Norman Endoscopy CenterCCN 37C0001062
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1092613Norman Endoscopy Center, LLC1515 N Porter Ave, Ste 100, Norman, OK 73071Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

1515 N Porter Ave
Ste 100
Norman, OK 73071
Phone (405) 366-0969

Practitioners & affiliated clinicians

Practitioners 5

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": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1386892230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE",
            "address_2": "SUITE 206",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716446",
            "telephone_number": "405-366-8619",
            "fax_number": "405-366-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N PORTER AVE STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716650",
            "telephone_number": "405-366-0969",
            "fax_number": "405-366-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MARKET PRESIDENT",
        "authorized_official_telephone_number": "405-366-8619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.