Organization Active NPI

Oklahoma Oasis Hyperbarics LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Edmond, OK
National Provider Identifier
1720620610
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
OKLAHOMA OASIS HYPERBARICS LLC
Practice address
120 N Bryant Ave Ste A4
Edmond, OK 73034-6300
Phone
(405) 808-7737
NPI assigned
Oct 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Greg S. Conrady
Title
Manager
Phone
(405) 808-7737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

120 N Bryant Ave Ste A4
Edmond, OK 73034-6300

Mailing address

120 N Bryant Ave Ste A4
Edmond, OK 73034-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL okoasishbot.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

120 N Bryant Ave
Ste A4
Edmond, OK 73034
Phone (405) 483-0633

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1720620610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N BRYANT AVE STE A4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N BRYANT AVE STE A4",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346300",
            "telephone_number": "405-808-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA OASIS HYPERBARICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "CONRADY",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-808-7737"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "okoasishbot.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinic",
            "address_1": "120 N Bryant Ave Ste A4",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730346300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.