Provider Demographics
NPI:1083799175
Name:OKLAHOMA PULMONARY PHYSICIANS, INC.
Entity Type:Organization
Organization Name:OKLAHOMA PULMONARY PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHON
Authorized Official - Middle Name:RL
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-636-1111
Mailing Address - Street 1:PO BOX 44159
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73144
Mailing Address - Country:US
Mailing Address - Phone:405-682-8383
Mailing Address - Fax:405-682-8044
Practice Address - Street 1:4200 S DOUGLAS AVE
Practice Address - Street 2:SUITE 313
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109
Practice Address - Country:US
Practice Address - Phone:405-636-1111
Practice Address - Fax:405-636-7995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK02728 ELLIOTT SCHWAR207RP1001X
OK12745 JONATHAN SCHWA207RP1001X
OKT HARRELSON F0609168363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100122690AMedicaid
OK100123440AMedicaid
D42796Medicare UPIN
OK100123440AMedicaid