Organization Active NPI

St Anthony North Ambulatory Surgical Center L L C

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1801856471
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0055 Issued in OK
Legal business name
ST ANTHONY NORTH AMBULATORY SURGICAL CENTER L L C
Practice address
6205 N Santa Fe Ave
Suite 100
Oklahoma City, OK 73118-7535
Phone
(405) 419-5566
Fax
(405) 419-5401
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Mr. Debbie Foster
Title
Ceo
Phone
(405) 419-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0055 OK Primary

Addresses

Primary practice location

6205 N Santa Fe Ave
Suite 100
Oklahoma City, OK 73118-7535

Mailing address

6205 N Santa Fe Ave
Suite 100
Oklahoma City, OK 73118-7535
Phone (405) 419-5566

Other identifiers 2

IdentifierTypeStateIssuer
100745740BMedicaidOK
490004237OtherOKRAILROAD MEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1801856471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187535",
            "telephone_number": "405-419-5566",
            "fax_number": "405-419-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 N SANTA FE AVE",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187535",
            "telephone_number": "405-419-5566",
            "fax_number": "405-419-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY NORTH AMBULATORY SURGICAL CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-419-5566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745740B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "490004237",
            "state": "OK"
        }
    ],
    "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 Apr 30, 2008; 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.