NPIMap

Organization Active NPI

Oklahoma Heart Hospital South LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
National Provider Identifier
1841442274
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
OKLAHOMA HEART HOSPITAL SOUTH LLC
Practice address
5200 East I-240 Service Rd
Oklahoma City, OK 73135-2610
Phone
(405) 595-5000
Fax
(405) 608-6174
NPI assigned
Oct 16, 2008
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Tracy Enloe
Title
Chief Financial Officer
Phone
(405) 608-3302

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X Primary
Special Hospital 284300000X

Addresses

Primary practice location

5200 East I-240 Service Rd
Oklahoma City, OK 73135-2610

Mailing address

7800 NW 85TH Ter
Oklahoma City, OK 73132-3385
Phone (405) 608-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091002000285 OK Part A Provider - Hospital 6002952199 Practice locations: Oklahoma City, OK; Shawnee, OK
O20131204001787 OK Part B Supplier - Intensive Cardiac Rehabilitation 6002952199 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841442274. Details of each certification follow.

Hospital certification: CCN 370234

Legal name
OKLAHOMA HEART HOSPITAL SOUTH LLC
Doing business as
OKLAHOMA HEART HOSPITAL SOUTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 17, 2010
Last certification
Nov 11, 2022
Beds
44
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Enrollment address
5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607
Main/Primary Hospital Location
Hospital subgroups
Acute care, Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
Oklahoma Heart Hospital South, LLCCCN 370234 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

5224 E I 240 Service Rd
#3
Oklahoma City, OK 73135
Phone (405) 628-6765

5224 E I 240 Service Rd
#302
Oklahoma City, OK 73135
Phone (405) 628-6765

5224 E I 240 Service Rd
Ste 100
Oklahoma City, OK 73135
Phone (405) 628-6000

5224 E I 240 Service Rd
Ste 109
Oklahoma City, OK 73135
Phone (405) 628-6765

5224 E I 240 Service Rd
Ste 302
Oklahoma City, OK 73135
Phone (405) 628-6765

7800 NW 85th Ter
#200
Oklahoma City, OK 73132

3306 N Kickapoo Ave
Ste 154
Shawnee, OK 74804
Phone (405) 628-6535

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jesse R Campbell Individual Corporate DirectorBoard Member Mar 1, 2024
Elaine Purvis Individual Corporate DirectorBoard Member Aug 5, 2025
Peggy D Tipton Individual Corporate OfficerCoo Feb 17, 2003
W-2 Managing EmployeeCoo Feb 17, 2003
Paul Jenson Individual Corporate DirectorBoard Member Jun 18, 2019
Norman Regional Hospital Authority Organization, Norman, OK 5% Or Greater Direct Ownership Interest Jan 11, 2010 12%
Stephanie L Armstrong Individual Corporate OfficerCompliance Officer Sep 1, 2016
W-2 Managing EmployeeCompliance Director Sep 1, 2016
David Miles Individual Corporate OfficerCio Nov 2, 2020
Jeffrey Peter Ciaramita Individual Corporate DirectorBoard Member May 6, 2025
Denise R Bragg Individual Corporate OfficerCno Jun 6, 2016
W-2 Managing EmployeeCno Jun 6, 2016
Andrew D Wirth Individual W-2 Managing EmployeeCompliance & Privacy Director Nov 1, 2016
Walid John Haddad Individual Corporate DirectorBoard Member Mar 15, 2024
John R Harvey Individual Corporate OfficerCeo Sep 25, 2007
W-2 Managing EmployeeCeo Sep 25, 2007
Mercy Health Oklahoma Communities Organization, Oklahoma City, OK Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2012 12%
5% Or Greater Indirect Ownership Interest Jan 11, 2010 34.34%
Oklahoma Heart Hospital, LLC Organization, Oklahoma City, OK LLC, For-profit 5% Or Greater Direct Ownership Interest Jan 11, 2010 76%
Michael L Watson Individual Corporate DirectorBoard Member Aug 5, 2025
Tracy Enloe Individual Corporate OfficerChief Financial Officer Apr 1, 2020
W-2 Managing EmployeeCfo Apr 1, 2020
Naeem K Tahirkheli Individual Corporate DirectorBoard Member Sep 25, 2007 10%
Mohammed N Ahmed Individual Corporate DirectorBoard Member May 5, 2021
Paul Garabelli Individual Corporate DirectorBoard Member Mar 15, 2024
Christopher F Hahne Individual Corporate DirectorBoard Member Mar 1, 2024
Patrick Holloway Individual Corporate OfficerCoo-Clinic Operations Jul 1, 2010
W-2 Managing EmployeeCoo-Clinic Operations Jul 1, 2010
Aaron L Boyd Individual Corporate DirectorBoard Member Feb 18, 2025

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

Practitioners & affiliated clinicians

Practitioners 43

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 43

Affiliated clinicians 222

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 222

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1841442274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 NW 85TH TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731323385",
            "telephone_number": "405-608-1200",
            "fax_number": "405-608-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EAST I-240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352610",
            "telephone_number": "405-595-5000",
            "fax_number": "405-608-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA HEART HOSPITAL SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-608-3302"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.