Active NPI
Ismc Surgical Associates
- Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1912936048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ISMC SURGICAL ASSOCIATES
- Practice address
- 4401 S Western Ave
Oklahoma City, OK 73109-3413 - Phone
- (405) 636-7000
- NPI assigned
- Jul 1, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Stanley F. Hupfeld
- Title
- Ceo
- Phone
- (405) 949-3011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
4401 S Western Ave
Oklahoma City, OK 73109-3413
Mailing address
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000
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, 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": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912936048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "405-636-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093413",
"telephone_number": "405-636-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISMC SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HUPFELD",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-949-3011",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.