Individual provider Active NPI

George S Alhaj, MD

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
National Provider Identifier
1851368898
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
22845 Issued in OK
Practice address
2124 Shadowlake Dr
Building O
Oklahoma City, OK 73159-7441
Phone
(405) 378-0600
Fax
(405) 576-3104
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 22845 OK
Pain Medicine (Anesthesiology) Physician 207LP2900X 22845 OK Primary

Addresses

Primary practice location

2124 Shadowlake Dr
Building O
Oklahoma City, OK 73159-7441

Mailing address

2124 Shadowlake Dr
Building O
Oklahoma City, OK 73159-7441
Phone (405) 378-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000928 OK Practitioner - General PracticePractitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 2264456482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1851368898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 SHADOWLAKE DR",
            "address_2": "BUILDING O",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597441",
            "telephone_number": "405-378-0600",
            "fax_number": "405-576-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 SHADOWLAKE DR",
            "address_2": "BUILDING O",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597441",
            "telephone_number": "405-378-0600",
            "fax_number": "405-576-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHAJ",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "22845",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "22845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.