Physicans Hospital in Anadarko

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

PT 4011 Issued in OK

Legal business name

PHYSICANS HOSPITAL IN ANADARKO

Practice address

1002 E Central Blvd
Anadarko, OK 73005-4405

Phone

(405) 247-2551

Fax

(405) 247-8258

NPI assigned

Oct 18, 2016

Last updated

Oct 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travis Villani

Title

Ceo

Phone

(405) 247-2551

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1912458647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E CENTRAL BLVD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054405",
            "telephone_number": "405-247-2551",
            "fax_number": "405-247-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E CENTRAL BLVD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054405",
            "telephone_number": "405-247-2551",
            "fax_number": "405-247-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICANS HOSPITAL IN ANADARKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "VILLANI",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-247-2551"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OK",
            "license": "PT 4011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Interventional Pain Management LLC
• Danilo E. Oliveros, M.D.
• One Cura Family Clinic-Anadarko, Inc.
• Collette Pendarvis, BA
• Phillip W & Phyllis J Melton (Clinic Pharmacy)
• Gloria Mae Pocowatchit X
• Levi Japheth Pohocsucut, BS
• Audrey Winnie Poolaw, PHARM.D.
• Sydney Morgan Prince, LCSW
• Harleigh Shaye Pruitt, BHCM II

• Critical Access Hospital in Anadarko, OK
• Providers in Anadarko, OK by specialty
• Critical Access Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.