NPIMap

Organization Active NPI

Stillwater Histology LLC

  • Ambulatory Surgical Clinic/Center
  • Stillwater, OK
National Provider Identifier
1760720668
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STILLWATER HISTOLOGY LLC
Practice address
1301 W. 6TH St
Suite 106
Stillwater, OK 74074
Phone
(405) 372-2390
Fax
(405) 742-5706
NPI assigned
Jan 28, 2013
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Thomas A. Swafford, M.D.NPI 1972602050
Title
Co-Owner
Phone
(405) 372-2390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X OK
Ambulatory Surgical Clinic/Center 261QA1903X OK Primary

Addresses

Primary practice location

1301 W. 6TH St
Suite 106
Stillwater, OK 74074

Mailing address

1301 W. 6TH St
Suite 106
Stillwater, OK 74074
Phone (405) 372-2390

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1760720668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W. 6TH ST",
            "address_2": "SUITE 106",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-372-2390",
            "fax_number": "405-742-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W. 6TH ST",
            "address_2": "SUITE 106",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-372-2390",
            "fax_number": "405-742-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER HISTOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "SWAFFORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "405-372-2390",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.