NPIMap

Organization Active NPI

McBride Clinic Orthopedic Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
National Provider Identifier
1932145505
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2369 Issued in OK
Legal business name
MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC
Practice address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone
(405) 486-2100
Fax
(405) 486-2504
NPI assigned
Jun 21, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mark Galliart
Title
Ceo
Phone
(405) 486-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2369 OK Primary

Addresses

Primary practice location

9600 Broadway Ext
Oklahoma City, OK 73114-7408

Mailing address

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 486-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518000844 OK Part A Provider - Hospital 3678514809 Practice locations: Oklahoma City, OK; Edmond, OK; Norman, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932145505. Details of each certification follow.

Hospital certification: CCN 370222

Legal name
MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC
Doing business as
MCBRIDE ORTHOPEDIC HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 20, 2005
Last certification
Apr 27, 2023
Beds
68
Ownership / control type
Physician ownership
Organization structure
LLCProprietary
Incorporated
Aug 21, 2002 in OK
Enrollment address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
McBride Orthopedic HospitalCCN 370222 · All quality measures
Type
Acute Care Hospitals
Ownership
Physician
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
McBride Clinic Orthopedic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William B Edmonds Individual Corporate Director Jan 1, 2024
Donna M Wallace Individual Corporate OfficerAssistant Treasurer Jul 1, 2024
Robert Augustine German Individual Contracted Managing EmployeeChief of Staff Jan 1, 2024
Operational/Managerial ControlChief of Staff Jan 1, 2024
Michael L Weed Individual Corporate Officer Jul 1, 2024
Corporate Director Jul 1, 2024
Mark Galliart Individual Corporate OfficerCeo Jun 15, 2009
W-2 Managing Employee Jun 15, 2009
Operational/Managerial ControlCeo Jun 15, 2009
Gregory Gisler Individual Corporate OfficerCfo Jul 1, 2024
W-2 Managing Employee Jul 1, 2002
Operational/Managerial ControlCfo Jul 1, 2002
Integris Health Inc Organization, Oklahoma City, OK Corporation, Non-profit Operational/Managerial Control Jul 1, 2024
Integris Ambulatory Care Corporation Organization, Oklahoma City, OK Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 51%
Brian Jones Individual Corporate Director Jul 1, 2024
Ronald M Dumigan Individual Corporate Director Jan 1, 2011
McBride Clinic, Inc. Organization, Oklahoma City, OK Corporation 5% Or Greater Direct Ownership Interest Aug 1, 2005 100%
Jeremy Robert Woodson Individual Corporate Director Jan 1, 2020
Allison Petersen Individual Corporate Officer Jul 1, 2024
David Saxton Individual Corporate Director Jan 1, 2024
Winston Fong Individual Corporate Director Jan 1, 2013

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 34

Practitioners & affiliated clinicians

Practitioners 57

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 57

Affiliated clinicians 104

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1932145505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-486-2100",
            "fax_number": "405-486-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147408",
            "telephone_number": "405-486-2100",
            "fax_number": "405-486-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "GALLIART",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-486-2100"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OK",
            "license": "2369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.