Organization Active NPI

Integris Baptist Medical Center Inc

Doing business as INTEGRIS Mental Health Physicians

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1780963330
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
INTEGRIS BAPTIST MEDICAL CENTER INC
Doing business as
INTEGRIS Mental Health Physicians
Practice address
5100 N Brookline Ave
Ste 950
Oklahoma City, OK 73112-3623
Phone
(405) 717-9800
Fax
(405) 942-4790
NPI assigned
Aug 15, 2011
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRIS BAPTIST MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Mr. Greg Meyers
Title
V P Integrity Revenue
Phone
(405) 949-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

5100 N Brookline Ave
Ste 950
Oklahoma City, OK 73112-3623

Mailing address

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112-5556
Phone (405) 951-8671

Other identifiers 1

IdentifierTypeStateIssuer
100806400FMedicaidOK

Other names 1

  • INTEGRIS Mental Health Physicians Doing business as

National Provider Directory

National Provider Directory
Part of
Integris Baptist Med Ce

Locations

5100 N Brookline Ave
Ste 950
Oklahoma City, OK 73112
Phone (405) 717-9840

NPI Registry JSON

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1780963330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-951-8671",
            "fax_number": "405-553-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N BROOKLINE AVE",
            "address_2": "STE 950",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123623",
            "telephone_number": "405-717-9800",
            "fax_number": "405-942-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS BAPTIST MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRIS BAPTIST MEDICAL CENTER INC",
        "enumeration_date": "2011-08-15",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "V P INTEGRITY REVENUE",
        "authorized_official_telephone_number": "405-949-3774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100806400F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRIS Mental Health Physicians",
            "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 3, 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.