Basic Information
Provider Information
NPI: 1497905905
EntityType: 2
ReplacementNPI:  
OrganizationName: BAPTIST HEALTHCARE OF OKLAHOMA INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: INTEGRIS SEMINOLE ANESTHESIA SERVICES
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 960363
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731960363
CountryCode: US
TelephoneNumber: 5805481367
FaxNumber: 5805481583
Practice Location
Address1: 2401 W WRANGLER BLVD
Address2:  
City: SEMINOLE
State: OK
PostalCode: 748681917
CountryCode: US
TelephoneNumber: 5805481367
FaxNumber: 5805481583
Other Information
ProviderEnumerationDate: 09/22/2008
LastUpdateDate: 09/08/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WEINMEISTER
AuthorizedOfficialFirstName: OSCAR
AuthorizedOfficialMiddleName: KARL
AuthorizedOfficialTitleorPosition: PRESIDENT RURAL HEALTH
AuthorizedOfficialTelephone: 5805481367
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix: JR.
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XR0031375OKY193400000X MULTIPLE SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

ID Information
IDTypeStateIssuerDescription
P0072984801OKMEDICARE RROTHER


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