NPIMap

Organization Active NPI

Advanced Perioperative Services PC

Doing business as Keley J Booth MD

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1629002886
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ADVANCED PERIOPERATIVE SERVICES PC
Doing business as
Keley J Booth MD
Practice address
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone
(918) 664-9892
Fax
(918) 664-2521
NPI assigned
Jul 11, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Keley John Booth, M.D.NPI 1558387696
Title
Ceo Owner
Phone
(405) 947-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

4401 S Western Ave
Oklahoma City, OK 73109-3413

Mailing address

PO Box 6491
Norman, OK 73070-6491
Phone (918) 664-9892

Other identifiers 1

IdentifierTypeStateIssuer
200087470AMedicaidOK

Other names 1

  • Keley J Booth MD Doing business as

National Provider Directory

National Provider Directory

Locations

5350 S Western Ave
#419
Oklahoma City, OK 73109
Phone (405) 636-1747

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1629002886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6491",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730706491",
            "telephone_number": "918-664-9892",
            "fax_number": "918-664-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "918-664-9892",
            "fax_number": "918-664-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PERIOPERATIVE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "KELEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "405-947-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200087470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keley J Booth MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 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.