DIALYSIS SPECIALISTS OF CENTRAL OKLAHOMA (NPI# 1083715981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083715981 |
| Entity Type | Organization |
| Organization Name | DIALYSIS SPECIALISTS OF CENTRAL OKLAHOMA |
| Practice Address |
3366 Nw Expressway Suite 670 Okc OK 73112 |
| Mailing Address |
5510 N Francis Okc OK 73118 |
| Practice Telephone | 4059425442 |
| Practice Fax Number | 4059426448 |
| Mailing Telephone | 4058580025 |
| Mailing Fax Number | 4058580141 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LAURA I RANKIN (OWNER MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4059425442 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WD1100X |
Registered Nurse Specialization: Dialysis, Peritoneal |
Nursing Service Providers | ||
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| X | 2472R0900X |
Technician, Other Specialization: Renal Dialysis |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3366 NW EXPRESSWAY SUITE 670 |
| City | OKC |
| State | OK |
| Zip Code | 73112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649229097 | Dennis Matthew Parker | Internal Medicine | 3366 Nw Expressway, #660, Okc, OK 73112-4416 | 2006-05-10 |
| 1740245745 | Nancy Nesbitt Nagle | Internal Medicine | 3366 Nw Expressway, #660, Okc, OK 73112-4416 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 163WD1100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Dialysis, Peritoneal |
| Definition to come... |
Please comment or provide details below to improve the information on DIALYSIS SPECIALISTS OF CENTRAL OKLAHOMA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.