NPIMap

Organization Active NPI

St Marys Anesthesia Group

  • Anesthesiology Physician
  • Enid, OK
National Provider Identifier
1629010269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST MARYS ANESTHESIA GROUP
Practice address
305 S 5TH St
Enid, OK 73701-5832
Phone
(580) 233-6100
Fax
(580) 249-3730
NPI assigned
Jun 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Verla Holguin
Title
Bus Office Director
Phone
(580) 249-5800

Specialties & licenses 1

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

Addresses

Primary practice location

305 S 5TH St
Enid, OK 73701-5832

Mailing address

PO Box 1727
Enid, OK 73702-1727
Phone (580) 237-4435

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629010269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737021727",
            "telephone_number": "580-237-4435",
            "fax_number": "580-233-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S 5TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015832",
            "telephone_number": "580-233-6100",
            "fax_number": "580-249-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLGUIN",
        "authorized_official_first_name": "VERLA",
        "authorized_official_title_or_position": "BUS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "580-249-5800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.