Northwest Otolaryngology

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

7794 Issued in OK

Legal business name

NORTHWEST OTOLARYNGOLOGY

Practice address

3435 NW 56TH St
711A
Oklahoma City, OK 73112-4448

Phone

(405) 945-4222

Fax

(405) 945-4322

NPI assigned

Sep 26, 2006

Last updated

Feb 8, 2008By 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

Jerry D Renfroe, M.D.

Title

Coowner

Phone

(405) 945-4222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kenneth A Rogers Jr., MD

  • Otolaryngology Physician
  • Oklahoma City, OK
  • NPI 1477653855
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1649371923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "711A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-945-4222",
            "fax_number": "405-945-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 NW 56TH ST",
            "address_2": "711A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124448",
            "telephone_number": "405-945-4222",
            "fax_number": "405-945-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OTOLARYNGOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "405-945-4222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "7794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Institute of Sports Medicine
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• Northwest Optical
• Northwest Optical Inc.
• Northwest Pediatrics of Okc, Inc.
• Northwinds Health Management, LLC (North Winds Living Center)
• Carolyn Yvonne Norton, BHRS
• Elizabeth Norton
• Kaydee Norton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.