NPIMap

Organization Active NPI

Oklahoma Allergy & Asthma Clinic

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1861599094
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OKLAHOMA ALLERGY & ASTHMA CLINIC
Practice address
750 NE 13TH St
Oklahoma City, OK 73104-5051
Phone
(405) 235-0040
Fax
(405) 235-4495
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Diane Lynn Kough
Title
Business Office Manager
Phone
(405) 235-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

750 NE 13TH St
Oklahoma City, OK 73104-5051

Mailing address

PO Box 26827
Oklahoma City, OK 73126-0827
Phone (405) 235-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618000611 OK Part B Supplier - Clinic/Group Practice 5294710927 Receives reassigned benefits from 15 practitioners
Practice locations: Edmond, OK; Norman, OK; Oklahoma City, OK; Yukon, OK

National Provider Directory

National Provider Directory

Locations

3560 S Boulevard
Ste 150
Edmond, OK 73013

3560 S Boulevard
Edmond, OK 73013
Phone 4052350040315

3580 Rc Luttrell Dr
Ste 100
Norman, OK 73072
Phone 4052350040315

1044 SW 44th St
Ste 518
Oklahoma City, OK 73109
Phone (405) 235-0040

13321 N Meridian Ave
Ste 100
Oklahoma City, OK 73120
Phone 4052350040315

750 NE 13th St
Oklahoma City, OK 73104
Phone (405) 235-0040

750 NE 13th St
Fl 3
Oklahoma City, OK 73104
Phone (405) 235-0040

8121 National Ave
#3
Oklahoma City, OK 73110

750 NE 13th St
Ste 300
Oklahoma City, OK 73104

1601 Health Center Pkwy
Bldg 1
Yukon, OK 73099

1601 Health Center Pkwy
Ste 1200
Yukon, OK 73099
Phone 4052350040315

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71186

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861599094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26827",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260827",
            "telephone_number": "405-235-0040",
            "fax_number": "405-235-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045051",
            "telephone_number": "405-235-0040",
            "fax_number": "405-235-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA ALLERGY & ASTHMA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOUGH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "405-235-0040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "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 Aug 22, 2020; 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.