Active NPI
Midtown Anesthesia Consultants PLLC
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1639192586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MIDTOWN ANESTHESIA CONSULTANTS PLLC
- Practice address
- 608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069 - Phone
- (660) 826-5960
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Johnson, MD
- Title
- Owner
- Phone
- (660) 826-5960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Mailing address
PO Box 21828
Oklahoma City, OK 73156-1828
Phone (660) 826-5960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2060 | Other | OK | RR MEDICARE |
| 200061020A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050813000234 | OK | Part B Supplier - Clinic/Group Practice | 8426088014 |
Receives reassigned benefits from 1 practitioner Practice locations: Edmond, OK; Moore, OK |
National Provider Directory
National Provider DirectoryLocations
701 NE 10th St
#124
Oklahoma City, OK 73104
Phone (405) 280-5510
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1639192586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21828",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731561828",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NW 9TH ST STE 6210",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021069",
"telephone_number": "660-826-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDTOWN ANESTHESIA CONSULTANTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-826-5960",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE2060",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200061020A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 25, 2020; 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.