Organization Active NPI

Key Health Institute of Edmond, LLC

Doing business as KHIE Anesthesia and Pain Management

  • Interventional Pain Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1780066654
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
KEY HEALTH INSTITUTE OF EDMOND, LLC
Doing business as
KHIE Anesthesia and Pain Management
Practice address
14100 Parkway Commons Dr
Suite 100
Oklahoma City, OK 73134-6103
Phone
(405) 775-4241
Fax
(405) 841-9385
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Debra Johnson
Title
Coo
Phone
(405) 775-4227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

14100 Parkway Commons Dr
Suite 100
Oklahoma City, OK 73134-6103

Mailing address

236 NW 62ND St
Oklahoma City, OK 73118-7422
Phone (405) 775-4227

Other names 1

  • KHIE Anesthesia and Pain Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Key Health Institute of Edmond LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1780066654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 NW 62ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187422",
            "telephone_number": "405-775-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346103",
            "telephone_number": "405-775-4241",
            "fax_number": "405-841-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY HEALTH INSTITUTE OF EDMOND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "405-775-4227"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KHIE Anesthesia and Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.