Premier Paradox Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

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

Last updated

Jan 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Woodson, MDNPI 1225032246

Title

Owner

Phone

(405) 657-3120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 13

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.

• Mark R Woodson, MD

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1225032246
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Kay Porter, M.D.

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1508962358
  Medicare reassignment Care Compare group NPD
• Alexa G Woodson, MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1720082266
  Medicare reassignment Care Compare group NPD
• Nishith Naveena Chandra Alva, MD

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1962998401
  Medicare reassignment NPD
• Savannah Leigh Coote, DO

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1750946521
  Medicare reassignment NPD
• Latrica Friley Dorsey, MSN

  • Gerontology Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1538696083
  Medicare reassignment NPD
• Sidney Thu Le, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1356795660
  Medicare reassignment NPD
• Ankur Mody, MD

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1861586752
  Medicare reassignment NPD
• Alexis Nicole Schutz, MD

  • Student in an Organized Health Care Education/Training Program
  • Oklahoma City, OK
  • NPI 1548824329
  Medicare reassignment NPD
• Sarah Elise Smith, MD

  • Family Medicine Physician
  • Anadarko, OK
  • NPI 1104355114
  Medicare reassignment NPD
• Jenifer Stockton, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1972047082
  Medicare reassignment NPD
• Gabriel Vidal, M.D.

  • Radiation Oncology Physician
  • Oklahoma City, OK
  • NPI 1487032116
  Medicare reassignment NPD

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": []
}

• Premier Breast Health Institute of Oklahoma LLC
• Premier Dentistry P.C.
• Premier Drug, LLC
• Premier Healthcare, Aprn-CNP, PC
• Premier Hearing Care, LLC
• Premier Physical Therapy
• Premier Source Medical Supply Inc.
• Premier Therapy Solutions
• Premier Wound Care PLLC
• Premise Health of Oklahoma Medical PC (Premise Health - Oklahoma City North)

• Hospitalist Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Hospitalist Physician in Oklahoma

• 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.

Verify at the official NPI Registry.