NPIMap

Organization Active NPI

Premier Hospitalists PC

  • Hospitalist Physician
  • Edmond, OK
National Provider Identifier
1760702153
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
19384 Issued in OK
Legal business name
PREMIER HOSPITALISTS PC
Practice address
13401 W Simmons Rd
Edmond, OK 73025-8565
Phone
(405) 401-6334
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Mark Woodson, MD
Title
Managing Director
Phone
(405) 401-6334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 19384 OK Primary

Addresses

Primary practice location

13401 W Simmons Rd
Edmond, OK 73025-8565

Mailing address

13401 W Simmons Rd
Edmond, OK 73025-8565
Phone (405) 401-6334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1760702153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 W SIMMONS RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730258565",
            "telephone_number": "405-401-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 W SIMMONS RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730258565",
            "telephone_number": "405-401-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPITALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "405-401-6334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "19384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 22, 2014; 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.