Active NPI
SE Oklahoma Anesthesia Services LLC
- Pain Medicine (Anesthesiology) Physician
- McAlester, OK
National Provider Identifier
1396034716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SE OKLAHOMA ANESTHESIA SERVICES LLC
- Practice address
- 1 E Clark Bass Blvd
McAlester, OK 74501-4209 - Phone
- (918) 426-1800
- NPI assigned
- Apr 6, 2011
- Last updated
- Apr 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Blair
- Title
- Cfo
- Phone
- (918) 426-1800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary |
Addresses
Primary practice location
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Southeast Hospice
- Community Based Hospice Care Agency
- McAlester, OK
- NPI 1306203187
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1396034716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "918-426-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SE OKLAHOMA ANESTHESIA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "BLAIR",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "918-426-1800"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.