Oklahoma Healthcare Provider Solutions, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OKLAHOMA HEALTHCARE PROVIDER SOLUTIONS, PLLC

Practice address

1116 Caines Hill Rd # 73034
Edmond, OK 73034-2317

Phone

(405) 942-3737

Fax

(405) 942-3873

NPI assigned

Feb 4, 2022

Organization subpart

No

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

Authorized official

Name

Julie St John Mahaney, MD

Title

President

Phone

(405) 942-3737

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1831843218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 CAINES HILL RD # 73034",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730342317",
            "telephone_number": "405-942-3737",
            "fax_number": "405-942-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 CAINES HILL RD # 73034",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730342317",
            "telephone_number": "405-942-3737",
            "fax_number": "405-942-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA HEALTHCARE PROVIDER SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "MAHANEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ST JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-942-3737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "URL",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "1116 Caines Hill Rd # 73034",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730342317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.