Active NPI
Premier Paradox Inc
- Hospitalist Physician
- Oklahoma City, OK
National Provider Identifier
1487424859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- PREMIER PARADOX INC
- Practice address
- 3524 NW 56TH St
Oklahoma City, OK 73112-4518 - Phone
- (405) 657-3120
- Fax
- (405) 657-3122
- NPI assigned
- Jan 5, 2024
- 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
- Mark Woodson, MD
- Title
- Owner
- Phone
- (405) 657-3120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
3524 NW 56TH St
Oklahoma City, OK 73112-4518
Mailing address
3524 NW 56TH St
Oklahoma City, OK 73112-4518
Phone (405) 657-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240202002722 | OK | Part B Supplier - Clinic/Group Practice | 4183067481 |
Receives reassigned benefits from 13 practitioners Practice locations: Oklahoma City, OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Oklahoma City, OK
- NPI 1548824329
OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1487424859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 NW 56TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124518",
"telephone_number": "405-657-3120",
"fax_number": "405-657-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3524 NW 56TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124518",
"telephone_number": "405-657-3120",
"fax_number": "405-657-3122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PARADOX INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "WOODSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-657-3120",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.