NPIMap

Organization Active NPI

Oklahoma Anesthesia Specialists PLLC

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1831874759
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
OKLAHOMA ANESTHESIA SPECIALISTS PLLC
Practice address
25 N Rockwell Ave
Oklahoma City, OK 73127-6112
Phone
(405) 796-4242
NPI assigned
Jun 19, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Austin Graham Trent, CRNANPI 1720563711
Title
Nurse Anesthesiologist
Phone
(405) 226-6806

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

25 N Rockwell Ave
Oklahoma City, OK 73127-6112

Mailing address

PO Box 570
Lake Forest, IL 60045-0570
Phone (800) 444-6110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231108001032 OK Part B Supplier - Clinic/Group Practice 6800243106 Receives reassigned benefits from 27 practitioners
Practice locations: Oklahoma City, OK; Yukon, OK; Purcell, OK; Pawhuska, OK; Blackwell, OK

National Provider Directory

National Provider Directory

Locations

9913 S May Ave
Ste C
Oklahoma City, OK 73159
Phone (405) 605-4350

2301 N 9th Ave
Purcell, OK 73080
Phone (405) 527-6524

Practitioners & affiliated clinicians

Practitioners 31

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 31

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1831874759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450570",
            "telephone_number": "800-444-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N ROCKWELL AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276112",
            "telephone_number": "405-796-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA ANESTHESIA SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "NURSE ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "405-226-6806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "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 Jun 19, 2023; 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.