INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (NPI# 1336155779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336155779 |
| Entity Type | Organization |
| Organization Name | INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION |
| Other Organization Name | INTEGRIS SOUTHWEST BREAST CENTER |
| Practice Address |
4100 S Douglas Ave Oklahoma City OK 73109-3210 |
| Mailing Address |
5400 N Independence Ave 100 Oklahoma City OK 73112-5300 |
| Practice Telephone | 4056367480 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-05-11 |
| Authorized Official Name | STANELY HUPFELD (PRESIDENT/CEO) |
| Authorized Official Telephone | 4059496066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
2289 | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Integris Southwest Breast Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538587464 | Integris South Oklahoma City Hospital Corporation | Psychiatric Unit | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2014-03-28 |
| 1336252717 | Integris South Oklahoma City Hospital Corporation | Rehabilitation Unit | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-08-17 |
| 1457372625 | Integris South Oklahoma City Hospital Corporation | General Acute Care Hospital | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION | 4401 S Western, Oklahoma City, OK 73109-3413 |
| Street Address |
4100 S DOUGLAS AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801819099 | Integris South Oklahoma City Corporation | Clinic/Center | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2006-07-26 |
| 1447897178 | Meredith Williams Easterly | Physical Therapist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2019-12-02 |
| 1023519691 | Shawna Mulvihill | Physical Therapist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2018-02-28 |
| 1063677409 | Ashlee Orr | Occupational Therapist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2008-07-24 |
| 1487817284 | Linda Elaine Helphrey | Physical Therapist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2008-07-02 |
| 1992967012 | Lori Ann Smith | Occupational Therapist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2008-06-30 |
| 1639331838 | Julie Anne Samuels | Speech-Language Pathologist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2008-06-28 |
| 1689836041 | Jeff Austin Barrett | Physical Therapy Assistant | 4100 S Douglas Ave, 4100 South Douglas Avenue, Oklahoma City, OK 73109-3210 | 2008-06-26 |
| 1700048394 | Kimberly Dawn Spivey | Speech-Language Pathologist | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2008-06-25 |
| 1861654592 | Joseph Powers | Physical Therapy Assistant | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316342512 | Hca Health Services of Oklahoma, Inc. | Clinic/Center | 2601 Sw 119th, Oklahoma City, OK 73170 | 2014-10-30 |
| 1023413218 | Hca Health Services of Oklahoma, Inc. | Clinic/Center | 13509 N Meridian Ave, Oklahoma City, OK 73120-8397 | 2014-10-30 |
| 1225295272 | Central Oklahoma American Indian Health Council, Inc. | Clinic/Center | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-19 |
| 1972698306 | Breast Mri of Oklahoma LLC | Clinic/Center | 4300 Mcauley Blvd, Oklahoma City, OK 73120-8302 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534220 | Utica Services Inc. | Clinic/Center | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2006-07-05 |
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION.
| 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.