Active NPI
Agbortambeng Enoweyere
- Certified Registered Nurse Anesthetist
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 215732
- Practice address
- 430 N Monte Vista St
Ada, OK 74820-4657 - Phone
- (580) 332-2323
- NPI assigned
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 215732 | OK | Primary |
Addresses
Primary practice location
430 N Monte Vista St
Ada, OK 74820-4657
Mailing address
4007 Magnolia Ridge Dr
Melissa, TX 75454-0314
Phone (405) 881-9965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3270 Joe Battle Blvd
El Paso, TX 79938-2639
Phone (915) 832-2000
Hospital & facility affiliations
- The Hospitals of Providence - East Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215732 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ias Illinois PC | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Western Oklahoma Anesthesia Consultants PLLC | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lone Star Anesthesia Partners PLLC | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700
401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227
1200 W Cherokee St
Wagoner, OK 74467
Phone (918) 485-1240
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011
1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746
3270 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 351-0699
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1972709970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1831963834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 MAGNOLIA RIDGE DR",
"city": "MELISSA",
"state": "TX",
"postal_code": "754540314",
"telephone_number": "405-881-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N MONTE VISTA ST",
"city": "ADA",
"state": "OK",
"postal_code": "748204657",
"telephone_number": "580-332-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOWEYERE",
"first_name": "AGBORTAMBENG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "215732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.