Organization Active NPI

Holbrook Anesthesia Services Inc

  • Certified Registered Nurse Anesthetist
  • Norman, OK
National Provider Identifier
1700167699
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024073 Issued in OK
Legal business name
HOLBROOK ANESTHESIA SERVICES INC
Practice address
419 W Gray St
Norman, OK 73069-7117
Phone
(405) 809-4200
Fax
(405) 364-5379
NPI assigned
Sep 6, 2011
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mona L Holbrook, CRNANPI 1932193422
Title
President
Phone
(405) 307-0548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024073 OK Primary

Addresses

Primary practice location

419 W Gray St
Norman, OK 73069-7117

Mailing address

412 Foreman Ave
Norman, OK 73069-6610
Phone (405) 307-0548

Other identifiers 1

IdentifierTypeStateIssuer
100787590AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1700167699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 FOREMAN AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696610",
            "telephone_number": "405-307-0548",
            "fax_number": "405-307-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W GRAY ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730697117",
            "telephone_number": "405-809-4200",
            "fax_number": "405-364-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROOK ANESTHESIA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-307-0548",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "0024073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100787590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.