Provider Demographics
NPI:1497905905
Name:BAPTIST HEALTHCARE OF OKLAHOMA INC
Entity Type:Organization
Organization Name:BAPTIST HEALTHCARE OF OKLAHOMA INC
Other - Org Name:INTEGRIS SEMINOLE ANESTHESIA SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT RURAL HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:WEINMEISTER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:580-548-1367
Mailing Address - Street 1:PO BOX 960363
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73196-0363
Mailing Address - Country:US
Mailing Address - Phone:580-548-1367
Mailing Address - Fax:580-548-1583
Practice Address - Street 1:2401 W WRANGLER BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-1917
Practice Address - Country:US
Practice Address - Phone:580-548-1367
Practice Address - Fax:580-548-1583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0031375367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00729848OtherMEDICARE RR