NPIMap

Organization Active NPI

Premier Anesthesia Management Inc

  • Anesthesiology Physician
  • Tulsa, OK
National Provider Identifier
1770968810
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PREMIER ANESTHESIA MANAGEMENT INC
Practice address
5801 E 41St St Ste 801
Tulsa, OK 74135-5630
Phone
(918) 504-9686
NPI assigned
Jul 29, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Daniel Heath Ragsdale, CRNANPI 1285875443
Title
Director
Phone
(918) 504-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OK
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

5801 E 41St St Ste 801
Tulsa, OK 74135-5630

Mailing address

PO Box 1043
Owasso, OK 74055-1043
Phone (918) 504-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220809001481 OK Part B Supplier - Clinic/Group Practice 7911389853 Receives reassigned benefits from 5 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

5801 E 41st St
Ste 801
Tulsa, OK 74135
Phone (918) 504-9686

9324 E 95TH CT
Tulsa, OK 74133

Practitioners & affiliated clinicians

Practitioners 6

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": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770968810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740551043",
            "telephone_number": "918-504-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 E 41ST ST STE 801",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355630",
            "telephone_number": "918-504-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ANESTHESIA MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-504-9686",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.