NPIMap

Organization Active NPI

Group LLC

Doing business as The Bam Anesthesia Group

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1881039014
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GROUP LLC
Doing business as
The Bam Anesthesia Group
Practice address
1000 N Lincoln Blvd Ste 150
Oklahoma City, OK 73104-3253
Phone
(405) 418-4800
Fax
(405) 418-4820
NPI assigned
May 1, 2013
Last updated
Jun 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
R. Jay Christensen, MD
Title
President
Phone
(405) 418-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1000 N Lincoln Blvd Ste 150
Oklahoma City, OK 73104-3253

Mailing address

PO Box 108835
Oklahoma City, OK 73101-8835
Phone (405) 418-4800

Other identifiers 3

IdentifierTypeStateIssuer
200487290AMedicaidOK
617740000OtherOKUS DEPT OF LABOR
DU1302OtherOKRR MEDICARE

Other names 1

  • The Bam Anesthesia Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130709000622 OK Part B Supplier - Clinic/Group Practice 4082854336 Receives reassigned benefits from 8 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

1000 N Lincoln Blvd
Ste 1
Oklahoma City, OK 73104
Phone (405) 232-8696

5200 E I 240 Service Rd
Oklahoma City, OK 73135
Phone (405) 608-6000

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1881039014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108835",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018835",
            "telephone_number": "405-418-4800",
            "fax_number": "405-418-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LINCOLN BLVD STE 150",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731043253",
            "telephone_number": "405-418-4800",
            "fax_number": "405-418-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-418-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200487290A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "617740000",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DU1302",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bam Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Bam Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 13, 2019; 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.