NPIMap

Organization Active NPI

Obstetrical Hospitalists & Women's Services, LLC

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1821423591
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
27567 Issued in OK
Legal business name
OBSTETRICAL HOSPITALISTS & WOMEN'S SERVICES, LLC
Practice address
4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300
Phone
(405) 748-4726
Fax
(405) 607-8497
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Pam Logan
Title
Practice Manager
Phone
(405) 748-4726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 27567 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd Ste 321
Oklahoma City, OK 73120-8300

Mailing address

4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8366
Phone (405) 286-5600

Other practice location 1

2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone (405) 748-4726

Other practice location 2

2710 S Rife Medical Ln Fl 5
Rogers, AR 72758-1452
Phone (405) 748-4726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141002001467 OK Part B Supplier - Clinic/Group Practice 8224258827 Receives reassigned benefits from 11 practitioners
Practice locations: Oklahoma City, OK
O20230310002247 AR Part B Supplier - Clinic/Group Practice 8224258827 Receives reassigned benefits from 5 practitioners
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory

Locations

2710 S Rife Medical Ln
#5
Rogers, AR 72758

2710 S Rife Medical Ln
Fl 5
Rogers, AR 72758
Phone (405) 748-4726

3501 24th Ave NW
#101
Norman, OK 73069
Phone (405) 801-2542

4140 W Memorial Rd
Ste 321
Oklahoma City, OK 73120
Phone (405) 286-5600

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1821423591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "SUITE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-286-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 321",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208300",
            "telephone_number": "405-748-4726",
            "fax_number": "405-607-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581452",
            "country_code": "US",
            "telephone_number": "405-748-4726",
            "fax_number": "405-607-8497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 S Rife Medical Ln Fl 5",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581452",
            "country_code": "US",
            "telephone_number": "405-748-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBSTETRICAL HOSPITALISTS & WOMEN'S SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "405-748-4726"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "27567",
            "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 17, 2024; 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.