Active NPI
I V League LLC
- Vascular Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1962378281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- I V LEAGUE LLC
- Practice address
- 5721 NW 132ND St
Oklahoma City, OK 73142-4437 - Phone
- (405) 473-0210
- NPI assigned
- Oct 14, 2025
- 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
- Randy Patterson, MD
- Title
- Owber
- Phone
- (405) 473-0210
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
5721 NW 132ND St
Oklahoma City, OK 73142-4437
Mailing address
5721 NW 132ND St
Oklahoma City, OK 73142-4437
Other names 1
- INNOVATIVE VASCULAR ACCESS
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1194109066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1962378281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5721 NW 132ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731424437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 NW 132ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731424437",
"telephone_number": "405-473-0210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I V LEAGUE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "OWBER",
"authorized_official_telephone_number": "405-473-0210",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INNOVATIVE VASCULAR ACCESS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.