Oklahoma Blood Institute

Primary specialty

Blood BankTaxonomy code 331L00000X

License

37D0470358 Issued in OK

Legal business name

OKLAHOMA BLOOD INSTITUTE

Practice address

1001 N Lincoln Blvd
Oklahoma City, OK 73104-3251

Phone

(405) 297-5511

Fax

(405) 228-9911

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Randall G Stark

Title

Chief Financial Officer

Phone

(405) 297-5501

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jean Forsberg, M.D.

  • Blood Banking & Transfusion Medicine Physician
  • Oklahoma City, OK
  • NPI 1417910597
  NPD (past)
• James Wayne Smith, M.D., PH.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Oklahoma City, OK
  • NPI 1093910309
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1720357841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043251",
            "telephone_number": "405-297-5511",
            "fax_number": "405-228-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043251",
            "telephone_number": "405-297-5511",
            "fax_number": "405-228-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA BLOOD INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-297-5501"
    },
    "taxonomies": [
        {
            "code": "331L00000X",
            "taxonomy_group": "",
            "desc": "Blood Bank",
            "state": "OK",
            "license": "37D0470358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS PTAN",
            "identifier": "37-HL01",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Assisted Living, LTD.
• Oklahoma Assistive Technology Center
• Oklahoma Assistive Technology Center-Durable Medical Equipment
• Oklahoma Behavior LLC
• Oklahoma Birdie Health, P.C.
• Oklahoma Brain Tumor Foundation
• Oklahoma Brain Tumor Foundation
• Oklahoma Breast Care Center LLC
• Oklahoma C.a.R.T. Association
• Oklahoma C.a.R.T. Association (Ocarta)

• Blood Bank in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Blood Bank in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.