MCALESTER AMBULATORY SURGERY CENTER, LLC (NPI# 1487644506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487644506 |
| Entity Type | Organization |
| Organization Name | MCALESTER AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
4 E Clark Bass Blvd Mcalester OK 74501-4269 |
| Mailing Address |
Po Box 966 Mcalester OK 74502-0966 |
| Practice Telephone | 9184216700 |
| Practice Fax Number | 9184216777 |
| Mailing Telephone | 9184216700 |
| Mailing Fax Number | 9184216777 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | MR. DAVID KEITH (CEO) |
| Authorized Official Telephone | 9184261800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0068 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUE CROSS/BLUE SHIELD | 000371048-001 | 01 |
| OK | DEPARTMENT OF LABOR - WC | 175753300 | 01 |
| OK | 100748940A | 05 |
| Street Address |
4 E CLARK BASS BLVD |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189695 | Michael Frank Boyer | Anesthesiology | 4 E Clark Bass Blvd, Suite # 205, Mcalester, OK 74501-4285 | 2005-10-24 |
| 1962968503 | Mai Thuy Murphy | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Mcalester, OK 74501-4269 | 2019-02-19 |
| 1487187928 | Brian David Pullum | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-11 |
| 1083147912 | Benjamin Aaron Nicholas Calvert | Specialist/Technologist, Other | 4 E Clark Bass Blvd, Suite 205, Mcalester, OK 74501-4269 | 2017-04-07 |
| 1932554581 | Christine Mandana Tavakoli | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Suite 301, Mcalester, OK 74501-4269 | 2016-05-02 |
| 1306200548 | Jonathan Paul Rohloff | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Suite 300, Mcalester, OK 74501-4269 | 2016-04-13 |
| 1104215516 | Osu Center for Health Sciences | Clinic/Center | 4 E Clark Bass Blvd, Suite 203, Mcalester, OK 74501-4269 | 2015-01-22 |
| 1053715144 | Mcalester Regional Health Center | Urology | 4 E Clark Bass Blvd, Suite 202, Mcalester, OK 74501-4269 | 2014-10-17 |
| 1639419393 | Mcalester Anesthesia and Respiratory Services Inc | Clinic/Center | 4 E Clark Bass Blvd, Ste. 205, Mcalester, OK 74501-4269 | 2013-02-18 |
| 1184975799 | Mcalester Regional Health Center | Urology | 4 E Clark Bass Blvd, Suite 202, Mcalester, OK 74501-4269 | 2012-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1508404922 | Ortho Central | Clinic/Center | 3400 W Tecumseh Rd Ste 301, Norman, OK 73072-1812 | 2019-12-16 |
| 1972156842 | Norman Regional Hospital Authority | Clinic/Center | 1125 N Porter Ave Ste 304, Norman, OK 73071-6443 | 2019-07-19 |
| 1508419474 | Norman Regional Hospital Authority | Clinic/Center | 3101 W Tecumseh Rd Ste 100, Norman, OK 73072-1816 | 2019-07-19 |
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
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| 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.