Organization Active NPI

Gi of Norman, LLC

  • Gastroenterology Physician
  • Norman, OK
National Provider Identifier
1700854106
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GI OF NORMAN, LLC
Practice address
1125 N Porter Ave
Ste. 301
Norman, OK 73071-6443
Phone
(405) 360-2777
Fax
(405) 360-2780
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Caroline M Jeffreys
Title
Controller
Phone
(405) 360-2777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1125 N Porter Ave
Ste. 301
Norman, OK 73071-6443

Mailing address

1125 N Porter Ave
Ste. 301
Norman, OK 73071-6443
Phone (405) 360-2777

Other identifiers 1

IdentifierTypeStateIssuer
200069740AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1700854106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE",
            "address_2": "STE. 301",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-360-2777",
            "fax_number": "405-360-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PORTER AVE",
            "address_2": "STE. 301",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716443",
            "telephone_number": "405-360-2777",
            "fax_number": "405-360-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI OF NORMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "JEFFREYS",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "405-360-2777"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200069740A",
            "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 Feb 14, 2012; 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.