Active NPI
Don Bohanan
- Registered Respiratory Therapist
- Norman, OK
National Provider Identifier
1407524341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 3834
- Practice address
- 718 N Porter Ave
Norman, OK 73071-6421 - Phone
- (405) 307-1530
- NPI assigned
- Sep 4, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 3834 | OK | Primary |
Addresses
Primary practice location
718 N Porter Ave
Norman, OK 73071-6421
Mailing address
5100 NW 155TH St
Edmond, OK 73013-9687
Phone (405) 205-1724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3834 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1407524341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 NW 155TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730139687",
"telephone_number": "405-205-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 N PORTER AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716421",
"telephone_number": "405-307-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHANAN",
"first_name": "DON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-04",
"last_updated": "2021-09-04",
"certification_date": "2021-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "OK",
"license": "3834",
"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 Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.