Organization Active NPI

Metro Anesthesia Consultants, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1457410300
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
13034 Issued in OK
Legal business name
METRO ANESTHESIA CONSULTANTS, INC.
Practice address
14101 Parkway Commons Dr
Oklahoma City, OK 73134-6012
Phone
(405) 749-2765
Fax
(405) 749-2766
NPI assigned
Dec 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Stephen A Andrade, M.D.
Title
President
Phone
(405) 749-2765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 13034 OK Primary

Addresses

Primary practice location

14101 Parkway Commons Dr
Oklahoma City, OK 73134-6012

Mailing address

PO Box 960077
Oklahoma City, OK 73196-0001
Phone (405) 749-2765

Other identifiers 1

IdentifierTypeStateIssuer
CS5011OtherRR MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1457410300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960077",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001",
            "telephone_number": "405-749-2765",
            "fax_number": "405-749-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 PARKWAY COMMONS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346012",
            "telephone_number": "405-749-2765",
            "fax_number": "405-749-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ANESTHESIA CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ANDRADE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-749-2765",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "13034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CS5011",
            "state": null
        }
    ],
    "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 May 15, 2009; 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.