NPIMap

Organization Active NPI

Anesthesia Specialists of Oklahoma LLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1801252952
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0100377 Issued in OK
Legal business name
ANESTHESIA SPECIALISTS OF OKLAHOMA LLC
Practice address
21 NE 3Rd St
Oklahoma City, OK 73104-2205
Phone
(405) 823-2491
Fax
(402) 434-6047
NPI assigned
Jan 5, 2016
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Todd M Fogarty, APRN-CRNANPI 1730289034
Title
Managing Member
Phone
(405) 823-2491

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0100377 OK Primary

Addresses

Primary practice location

21 NE 3Rd St
Oklahoma City, OK 73104-2205

Mailing address

PO Box 6971
Lincoln, NE 68506-0971
Phone (402) 486-7040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170104000375 OK Part B Supplier - Clinic/Group Practice 0648551739 Receives reassigned benefits from 13 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
Anesthesia Specialists of Oklahoma LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1801252952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6971",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060971",
            "telephone_number": "402-486-7040",
            "fax_number": "402-434-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 NE 3RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731042205",
            "telephone_number": "405-823-2491",
            "fax_number": "402-434-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANESTHESIA SPECIALISTS OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-823-2491",
        "authorized_official_credential": "APRN-CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0100377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 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.