MR. LARRY FREDERICK PATRICK (NPI# 1528057577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528057577 |
| Entity Type | Individual |
| Full Name | MR. LARRY FREDERICK PATRICK |
| Credential | CRNA |
| Practice Address |
9500 Broadway Ext Oklahoma City OK 73114-7425 |
| Mailing Address |
16505 Thorton Ln Edmond OK 73003-6883 |
| Practice Telephone | 4054750600 |
| Practice Fax Number | 4054750610 |
| Mailing Telephone | 4056074824 |
| Mailing Fax Number | 4056074824 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R0024225 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518026780 | Larry M. Patrick | Social Worker | 501 Colliers Way, Weirton, WV 26062-5003 | 2006-12-06 |
| 1083652143 | Larry Patrick | Anesthesiology | 3214 E Race Ave, Searcy, AR 72143-4810 | 2006-06-02 |
| Street Address |
9500 BROADWAY EXT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277509 | Edwards Surgical Services, LLC | Registered Nurse | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2019-10-18 |
| 1346367323 | Ray D Dickerson | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-23 |
| 1013034008 | Steven J Lantier | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-23 |
| 1124158704 | Surgery Center of Oklahoma | Clinic/Center | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-06 |
| 1932239258 | Metro Anesthesia Services, LLP | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-06 |
| 1689719882 | George Keith Smith | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-02-21 |
| 1124176672 | Bobby Ray Fowler | Registered Nurse | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638727 | Kylie Ann Gross | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext Ste B103, Oklahoma City, OK 73114-7408 | 2020-01-09 |
| 1093172975 | Audrey Gauthe | Nurse Anesthetist, Certified Registered | 6529 Bent Wood Dr, Oklahoma City, OK 73169-6226 | 2016-01-22 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| 1003245481 | Traci Renee Wilmarth | Nurse Anesthetist, Certified Registered | 9713 Lakecrest Dr, Oklahoma City, OK 73159-6777 | 2013-11-05 |
| 1710226584 | Kay Lynn Woods | Nurse Anesthetist, Certified Registered | 7344 Nw 148th St, Oklahoma City, OK 73142-7858 | 2013-02-13 |
| 1154671097 | Desiree L Herring | Nurse Anesthetist, Certified Registered | 2317 Sw 137th St, Oklahoma City, OK 73170-5142 | 2012-09-19 |
| 1245537257 | William Todd Dupler | Nurse Anesthetist, Certified Registered | 3705 Nw 63rd St Ste 100, Oklahoma City, OK 73116-1937 | 2011-02-28 |
| 1699072702 | John Le | Nurse Anesthetist, Certified Registered | 301 N Walker Ave Apt 9106, Oklahoma City, OK 73102-1876 | 2011-02-25 |
| 1033426754 | Debra Dee Dunham Crna PC | Nurse Anesthetist, Certified Registered | 9801 S Penn Ave, Oklahoma City, OK 73159-6925 | 2010-09-01 |
| 1083927057 | Jerry Allen Gooch | Nurse Anesthetist, Certified Registered | 921 Ne 13th St., Va Medical Center, Oklahoma City, OK 73104-5028 | 2010-07-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.