Organization Active NPI

Ingham Anesthesia, LLC

  • Anesthesiologist Assistant
  • Clinton, OK
National Provider Identifier
1730328030
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Legal business name
INGHAM ANESTHESIA, LLC
Practice address
100 N 30TH St
Clinton, OK 73601-3117
Phone
(580) 323-2363
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Christopher Ingham, CRNA
Title
Owner
Phone
(580) 323-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 367H00000X Primary

Addresses

Primary practice location

100 N 30TH St
Clinton, OK 73601-3117

Mailing address

PO Box 1233
Clinton, OK 73601-1233
Phone (580) 323-2891

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1730328030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736011233",
            "telephone_number": "580-323-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013117",
            "telephone_number": "580-323-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGHAM ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "INGHAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-323-2363",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.