NPIMap

Organization Active NPI

Oklahoma Able Tech

  • Supports Brokerage Agency
  • Stillwater, OK
National Provider Identifier
1801090790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
OKLAHOMA ABLE TECH
Practice address
1514 W Hall of Fame
Stillwater, OK 74078-0001
Phone
(405) 744-9863
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Milissa Gofourth
Title
Program Manager
Phone
(405) 744-9863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

1514 W Hall of Fame
Stillwater, OK 74078-0001

Mailing address

1514 W Hall of Fame
Stillwater, OK 74078-0001
Phone (405) 744-9863

National Provider Directory

National Provider Directory
Tax ID family
Sallisaw State Veterans Home140 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801090790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W HALL OF FAME",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740780001",
            "telephone_number": "405-744-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 W HALL OF FAME",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740780001",
            "telephone_number": "405-744-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA ABLE TECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOFOURTH",
        "authorized_official_first_name": "MILISSA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "405-744-9863"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "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 Aug 22, 2020; 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.