Active NPI
Peak Medical Oklahoma No. 5, Inc.
- Skilled Nursing Facility
- Tulsa, OK
National Provider Identifier
1992750285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NH72347234
- Legal business name
- PEAK MEDICAL OKLAHOMA NO. 5, INC.
- Practice address
- 7707 S Memorial Dr
Tulsa, OK 74133-3643 - Phone
- (918) 250-8571
- Fax
- (918) 250-7925
- NPI assigned
- May 24, 2006
- Organization subpart
- Yes
- Parent organization
- SUNBRIDGE HEALTHCARE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William A. Mathies
- Title
- President Director
- Phone
- (505) 821-3355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NH72347234 | OK | Primary |
Addresses
Primary practice location
7707 S Memorial Dr
Tulsa, OK 74133-3643
Mailing address
101 Sun Ave NE
Compliance Director
Albuquerque, NM 87109-4373
Phone (505) 468-5604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100778500A | Medicaid | OK |
Other names 1
- Woodland View Care and Rehabilitation Center
National Provider Directory
National Provider Directory- Part of
- Terrace Hghts Nursing H
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254096000000",
"number": "1992750285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SUN AVE NE",
"address_2": "COMPLIANCE DIRECTOR",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094373",
"telephone_number": "505-468-5604",
"fax_number": "505-468-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 S MEMORIAL DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741333643",
"telephone_number": "918-250-8571",
"fax_number": "918-250-7925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEAK MEDICAL OKLAHOMA NO. 5, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUNBRIDGE HEALTHCARE CORPORATION",
"enumeration_date": "2006-05-24",
"last_updated": "2009-09-28",
"status": "A",
"authorized_official_last_name": "MATHIES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT DIRECTOR",
"authorized_official_telephone_number": "505-821-3355"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OK",
"license": "NH72347234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100778500A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodland View Care and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.