Organization Active NPI

Owl Anesthesia Aprn-Crna, PC

  • Certified Registered Nurse Anesthetist
  • Midwest City, OK
National Provider Identifier
1417393158
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
104163 Issued in OK
Legal business name
OWL ANESTHESIA APRN-CRNA, PC
Practice address
2825 Parklawn Dr
Midwest Regional Medical Center
Midwest City, OK 73110-4201
Phone
(405) 360-7576
Fax
(405) 360-7762
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
William Robbin Saunders, APRN-CRNA
Title
President
Phone
(276) 971-7319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 104163 OK Primary

Addresses

Primary practice location

2825 Parklawn Dr
Midwest Regional Medical Center
Midwest City, OK 73110-4201

Mailing address

2502 Ashe Creek Dr
Edmond, OK 73034-5949
Phone (276) 971-7319

Other identifiers 2

IdentifierTypeStateIssuer
200418130AMedicaidOK
OKAAA3389OtherOKMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

Dept 960476
Oklahoma City, OK 73196

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1417393158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 ASHE CREEK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345949",
            "telephone_number": "276-971-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PARKLAWN DR",
            "address_2": "MIDWEST REGIONAL MEDICAL CENTER",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104201",
            "telephone_number": "405-360-7576",
            "fax_number": "405-360-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL ANESTHESIA APRN-CRNA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-971-7319",
        "authorized_official_credential": "APRN-CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "104163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKAAA3389",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.