Active NPI
Holbrook Anesthesia Services Inc
- Certified Registered Nurse Anesthetist
- Norman, OK
National Provider Identifier
1700167699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024073
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mona L Holbrook, CRNA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100787590A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1932193422
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.