NPIMap

Organization Active NPI

Norman Regional Hospital Authority

  • Emergency Medicine Physician
  • Norman, OK
National Provider Identifier
1912563727
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NORMAN REGIONAL HOSPITAL AUTHORITY
Practice address
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone
(405) 307-1000
NPI assigned
May 16, 2019
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORMAN REGIONAL HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Richard D Wagner
Title
Co-Ceo
Phone
(405) 515-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3300 Healthplex Pkwy
Norman, OK 73072-9749

Mailing address

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 307-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000299 OK Part B Supplier - Clinic/Group Practice 2769395185 Receives reassigned benefits from 62 practitioners
1 other NPI on this enrollment
Practice locations: Norman, OK; Moore, OK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Norman Reg Hosp Authority

Member organizations 31

Organizations listed as members of this organization in the National Provider Directory.

View all 31

Locations

2000 Ann Branden Blvd
Fl 1
Norman, OK 73071

724 24th Ave NW
Ste 210
Norman, OK 73069
Phone (405) 321-6347

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Norman RegionalNorman, OK, CCN 370008 Hospital Operational/Managerial Control Jul 1, 1966
Norman RegionalNorman, OK, CCN 37T008 Hospital Operational/Managerial Control Jul 1, 1966
Oklahoma Heart Hospital SouthOklahoma City, OK, CCN 370234 Hospital 5% Or Greater Direct Ownership Interest (12%) Jan 11, 2010
Behavioral Health Center at Porter Health VillageNorman, OK, CCN 374027 Hospital 5% Or Greater Direct Ownership Interest (30%) Jun 4, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1912563727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-307-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-307-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN REGIONAL HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORMAN REGIONAL HOSPITAL AUTHORITY",
        "enumeration_date": "2019-05-16",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "405-515-1000"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.