Organization Active NPI

Western Oklahoma Anesthesia Consultants Woodward LLC

  • Anesthesiology Physician
  • Woodward, OK
National Provider Identifier
1427615731
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTERN OKLAHOMA ANESTHESIA CONSULTANTS WOODWARD LLC
Practice address
900 17TH St
Woodward, OK 73801-2448
Phone
(580) 339-8001
Fax
(580) 339-8031
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Dr. Brian E Blick, MDNPI 1992143051
Title
Physician / Owner
Phone
(580) 339-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

900 17TH St
Woodward, OK 73801-2448

Mailing address

PO Box 659506
San Antonio, TX 78265-9506
Phone (580) 339-8001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1427615731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659506",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782659506",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 17TH ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738012448",
            "telephone_number": "580-339-8001",
            "fax_number": "580-339-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN OKLAHOMA ANESTHESIA CONSULTANTS WOODWARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "BLICK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "580-339-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.