NPIMap

Organization Active NPI

Outpatient Surgical Center of Ponca City, LLC

  • Certified Registered Nurse Anesthetist
  • Ponca City, OK
National Provider Identifier
1992905913
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC
Practice address
400 Fairview Ave
Ste 50
Ponca City, OK 74601-1920
Phone
(580) 762-0695
Fax
(580) 765-9406
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Steffi Marie Cowan
Title
Administrator
Phone
(580) 762-0695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

400 Fairview Ave
Ste 50
Ponca City, OK 74601-1920

Mailing address

400 Fairview Ave
Ste 50
Ponca City, OK 74601-1920
Phone (580) 762-0695

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1992905913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "STE 50",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-762-0695",
            "fax_number": "580-765-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "STE 50",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-762-0695",
            "fax_number": "580-765-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "STEFFI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-762-0695"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.