Great Plains Sleep Specialists LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

GREAT PLAINS SLEEP SPECIALISTS LLC

Practice address

1317 S Dewey Ave
Wagoner, OK 74467-7013

Phone

(918) 577-6963

Fax

(918) 577-6965

NPI assigned

Oct 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Cassidy Cagle, RPSGT

Title

Vice President

Phone

(918) 577-6963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1649812389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744770893",
            "telephone_number": "918-577-6963",
            "fax_number": "918-577-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 S DEWEY AVE",
            "city": "WAGONER",
            "state": "OK",
            "postal_code": "744677013",
            "telephone_number": "918-577-6963",
            "fax_number": "918-577-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS SLEEP SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "CAGLE",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "918-577-6963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawnie Goodwin, BS, RD, LD
• Michael Douglas Gorman, MD
• Nerxhivane Xhanka Graham
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• Sarah Jayne Greenman
• Karalee Gregg, BS MS
• April Louise Gunter
• William J Guthrie, D.O.
• Kimberley Joye Hadrava

• Sleep Disorder Diagnostic Clinic/Center in Wagoner, OK
• Providers in Wagoner, OK by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.