Oklahoma Kidney Care Dialysis, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

OKLAHOMA KIDNEY CARE DIALYSIS, LLC

Practice address

13901 McAuley Blvd
Oklahoma City, OK 73134-8700

Phone

(405) 748-5800

Fax

(405) 748-5806

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lorraine T Wilson, M.D.NPI 1720180029

Title

Member President

Phone

(405) 748-5800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lorraine T Wilson, MD

  • Nephrology Physician
  • Oklahoma City, OK
  • NPI 1720180029
  NPD (past) Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1669658472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5812",
            "fax_number": "405-748-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13901 MCAULEY BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731348700",
            "telephone_number": "405-748-5800",
            "fax_number": "405-748-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA KIDNEY CARE DIALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER PRESIDENT",
        "authorized_official_telephone_number": "405-748-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Heart Hospital South LLC
• Oklahoma Heart Hospital, LLC
• Oklahoma Heritage Home Care Inc.
• Oklahoma Hospital Medicine Physicians LLC
• Oklahoma Iop Center Inc
• Oklahoma Kidney Care PC
• Oklahoma Kidney Center, Inc.
• Oklahoma Kids Psychological Service Center
• Oklahoma League for the Blind
• Oklahoma Lithotripter Associates, L.C.

• All providers in Oklahoma City, OK
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.