Oklahoma City Anesthesia, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

OKLAHOMA CITY ANESTHESIA, LLC

Practice address

11200 N. Portland Ave.
Oklahoma City, OK 73120

Phone

(405) 296-3270

Fax

(918) 720-0270

NPI assigned

Mar 24, 2006

Last updated

Jun 6, 2022By 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

Robin Tanner Bayless, M.D.NPI 1134189939

Title

Owner/Managing Member

Phone

(405) 250-4221

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 21

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.

• Robin T Bayless, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1134189939
  Medicare reassignment NPD Authorized official
• Dana J Bock, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1487614285
  Medicare reassignment Care Compare group NPD
• Robin Harms, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1871501148
  Medicare reassignment Care Compare group NPD
• Greg Bachman, MD

  • Anesthesiology Physician
  • Muskogee, OK
  • NPI 1790887180
  Medicare reassignment NPD
• Phillip Benton Brown, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1417002544
  Medicare reassignment NPD
• Max Cieminski, DO

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1194734616
  Medicare reassignment NPD
• William Robert Gordon, M.D.

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1992239099
  Medicare reassignment NPD
• Ian Delain Gray, M.D.

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1710365390
  Medicare reassignment NPD
• Michael McCarty, M.D.

  • Anesthesiology Physician
  • Ardmore, OK
  • NPI 1073580791
  Medicare reassignment NPD
• Cody Motley, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1871887810
  Medicare reassignment NPD
• Dipakkumar Shantilal Patel, MD

  • Anesthesiology Physician
  • Edmond, OK
  • NPI 1164480687
  Medicare reassignment NPD
• Laci Marie Paul, MD

  • Anesthesiology Physician
  • Oklahoma City, OK
  • NPI 1538656392
  Medicare reassignment NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1629038450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NW 63RD ST.",
            "address_2": "SUITE 106",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-296-3270",
            "fax_number": "918-720-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 N. PORTLAND AVE.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-296-3270",
            "fax_number": "918-720-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA CITY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "BAYLESS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "405-250-4221",
        "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": "100748950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.