Active NPI
KJ Anesthesia PLLC
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1427238989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- KJ ANESTHESIA PLLC
- Practice address
- 3100 SW 89TH St
Oklahoma City, OK 73159-7900 - Phone
- (405) 602-8100
- NPI assigned
- Nov 13, 2007
- 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
- Kathy D Johnson, DO
- Title
- President
- Phone
- (405) 602-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
3100 SW 89TH St
Oklahoma City, OK 73159-7900
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200125480A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1427238989",
"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": "3100 SW 89TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731597900",
"telephone_number": "405-602-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KJ ANESTHESIA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-13",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-602-8100",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200125480A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.