Organization Active NPI

Oklahoma Sleep Institute Clinic - Stillwater

  • Nurse Practitioner
  • Stillwater, OK
National Provider Identifier
1891057766
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OKLAHOMA SLEEP INSTITUTE CLINIC - STILLWATER
Practice address
821 S Pine St
Stillwater, OK 74074-4350
Phone
(405) 301-8970
Fax
(405) 606-7040
NPI assigned
Jun 15, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Michael C Gold
Title
Ceo
Phone
(405) 606-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

821 S Pine St
Stillwater, OK 74074-4350

Mailing address

14000 N Portland Ave
Suite 201
Oklahoma City, OK 73134-4003
Phone (405) 606-2727

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1891057766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344003",
            "telephone_number": "405-606-2727",
            "fax_number": "405-606-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S PINE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744350",
            "telephone_number": "405-301-8970",
            "fax_number": "405-606-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SLEEP INSTITUTE CLINIC - STILLWATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-606-2727"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.