NPIMap

Organization Active NPI

Grove General Hospital

  • Anesthesiology Physician
  • Grove, OK
National Provider Identifier
1467692145
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GROVE GENERAL HOSPITAL
Practice address
1001 E 18TH St
Grove, OK 74344-2907
Phone
(918) 787-8980
Fax
(918) 787-6052
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mr. Greg Martin
Title
Administrator
Phone
(918) 786-2243

Specialties & licenses 1

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

Addresses

Primary practice location

1001 E 18TH St
Grove, OK 74344-2907

Mailing address

PO Box 6808
Grove, OK 74344-6808
Phone (918) 787-8980

Other identifiers 1

IdentifierTypeStateIssuer
100699700MMedicaidOK

Other names 1

  • Integris Grove General Hospital Anesthesia Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grove General Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1467692145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6808",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446808",
            "telephone_number": "918-787-8980",
            "fax_number": "918-787-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 18TH ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442907",
            "telephone_number": "918-787-8980",
            "fax_number": "918-787-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-786-2243",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "100699700M",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integris Grove General Hospital Anesthesia Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.