Active NPI
Nautilus Health PLLC
- Internal Medicine Physician
- Edmond, OK
National Provider Identifier
1871372714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NAUTILUS HEALTH PLLC
- Practice address
- 7700 Tangle Vine Dr
Edmond, OK 73034-8442 - Phone
- (405) 936-0504
- Fax
- (405) 936-0564
- NPI assigned
- Sep 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Zann McMahan, MD
- Title
- Sole Owner
- Phone
- (405) 760-2018
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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Home Health Certified Respiratory Therapist | 2278H0200X | |||
| Registered Respiratory Therapist | 227900000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
7700 Tangle Vine Dr
Edmond, OK 73034-8442
Mailing address
PO Box 57390
Oklahoma City, OK 73157-7390
Phone (405) 936-0504
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1710064209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735257600000",
"number": "1871372714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 57390",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731577390",
"telephone_number": "405-936-0504",
"fax_number": "405-936-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 TANGLE VINE DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730348442",
"telephone_number": "405-936-0504",
"fax_number": "405-936-0564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAUTILUS HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-28",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A",
"authorized_official_last_name": "MCMAHAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ZANN",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "405-760-2018",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2278H0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.