NPIMap

Organization Active NPI

Norman Regional Hospital Authority

  • Ambulatory Surgical Clinic/Center
  • Norman, OK
National Provider Identifier
1508419474
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORMAN REGIONAL HOSPITAL AUTHORITY
Practice address
3101 W Tecumseh Rd Ste 100
Norman, OK 73072-1816
Phone
(405) 364-5900
Fax
(405) 364-5905
NPI assigned
Jul 19, 2019
Organization subpart
Yes
Parent organization
NORMAN REGIONAL HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Richard D Wagner
Title
Co-Ceo
Phone
(405) 515-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3101 W Tecumseh Rd Ste 100
Norman, OK 73072-1816

Mailing address

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 307-1000

Other names 1

  • WEST NORMAN ENDOSCOPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112001212 OK Part B Supplier - Ambulatory Surgical Center 2769395185 Practice locations: Norman, OK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Norman EndoscopyCCN 37C0001061
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Norman Regional Hosp11 organizations share this tax ID, including this one
Part of
Norman Regional Hosp

Other organizations with this tax ID 10

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

Locations

700 S Air Depot Blvd
Midwest City, OK 73110
Phone (405) 732-2291

701 E Robinson St
Ste 102
Norman, OK 73071
Phone (405) 928-2900

809 N Findlay Ave
Norman, OK 73071
Phone (405) 364-0643

701 E Robinson St
Ste 103
Norman, OK 73071
Phone (405) 307-6966

3500 Healthplex Pkwy
Ste 102
Norman, OK 73072
Phone (405) 307-6918

3500 Healthplex Pkwy
Ste 100
Norman, OK 73072
Phone (405) 515-2300

900 N Porter Ave
Ste 212
Norman, OK 73071
Phone (405) 217-2922

3400 W Tecumseh Rd
Ste 105
Norman, OK 73072
Phone (405) 307-6955

200 Norman Center Ct
Norman, OK 73072
Phone (405) 307-6620

500 E Robinson St
Ste 1600
Norman, OK 73071
Phone (405) 307-1149

3500 Healthplex Pkwy
Ste 101
Norman, OK 73072
Phone (405) 307-1728

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Norman RegionalNorman, OK, CCN 370008 Hospital Operational/Managerial Control Jul 1, 1966
Norman RegionalNorman, OK, CCN 37T008 Hospital Operational/Managerial Control Jul 1, 1966
Oklahoma Heart Hospital SouthOklahoma City, OK, CCN 370234 Hospital 5% Or Greater Direct Ownership Interest (12%) Jan 11, 2010
Behavioral Health Center at Porter Health VillageNorman, OK, CCN 374027 Hospital 5% Or Greater Direct Ownership Interest (30%) Jun 4, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1508419474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-307-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W TECUMSEH RD STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721816",
            "telephone_number": "405-364-5900",
            "fax_number": "405-364-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN REGIONAL HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORMAN REGIONAL HOSPITAL AUTHORITY",
        "enumeration_date": "2019-07-19",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "405-515-1000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST NORMAN ENDOSCOPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.