Stillwater Heart Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

15022 Issued in OK

Legal business name

STILLWATER HEART CENTER INC

Practice address

1301 W 6TH Ave
Suite 110
Stillwater, OK 74074-4375

Phone

(405) 743-2354

Fax

(405) 743-2950

NPI assigned

Sep 27, 2006

Last updated

Dec 11, 2009By 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

Dr. Arthur Darrell Hagan, M.D

Title

President

Phone

(405) 743-2354

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1699866616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE",
            "address_2": "SUITE 110",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744375",
            "telephone_number": "405-743-2354",
            "fax_number": "405-743-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE",
            "address_2": "SUITE 110",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744375",
            "telephone_number": "405-743-2354",
            "fax_number": "405-743-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER HEART CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-743-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "15022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743440A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stillwater Hearing Clinic, Inc.
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• Stillwater Medical Center
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• Specialist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.