OKMULGEE EMERGENCY PLLC
NPI 1609865666
Emergency Medicine - Emergency Medical Services in Okmulgee, OK

NPI Status: Active since October 20, 2005

Contact Information

1401 MORRIS DR
OKMULGEE, OK
ZIP 74447
Phone: (918) 756-3410

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services
  • CLIA Number: 37D0891192
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-31-2026

About OKMULGEE EMERGENCY PLLC

This page provides the complete NPI Profile along with additional information for Okmulgee Emergency Pllc, a provider established in Okmulgee, Oklahoma operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1609865666 assigned on October 2005. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Okmulgee Emergency Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Berry E Winn Md (President)

NPI
1609865666
Provider Name
OKMULGEE EMERGENCY PLLC
Entity Type
Organization
Location Address
1401 MORRIS DR OKMULGEE, OK 74447
Location Phone
(918) 756-3410
Mailing Address
PO BOX 5387 NORMAN, OK 73070
Mailing Phone
(866) 321-8433
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License State
OK
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BERRY E WINN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(918) 756-3410

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D0891192
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
LAYTH AL ATTAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Okmulgee Emergency Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609865666
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260916610612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 6 + 6 + 1 + 0 + 6 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1609865666 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740234541 ALLISON A BLANCHARD MD
Individual
Emergency Medicine (Emergency Medical Services)1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-3410
1740218866MR. JASON SHANE BRUCE CRNA
Individual
Nurse Anesthetist, Certified Registered1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-3177
1093908428MR. RANDALL ALLAN AKINS CRNA
Individual
Nurse Anesthetist, Certified Registered1401 MORRIS DR
OKMULGEE, OK 74447
(918) 758-3100
1457503732 JULIE ANNA TUCKER-BARTON RRT
Individual
Respiratory Therapist, Registered1401 MORRIS DR
OKMULGEE, OK 74447
(918) 758-3029
1558415372OKMULGEE MEMORIAL HOSPITAL
Organization
Psychiatric Unit1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1205175817ADVANCED INVASIVE PAIN MANAGEMENT OF HOUSTON
Organization
Specialist1401 MORRIS DR
OKMULGEE, OK 74447
(918) 925-9905
1982034492CREEK NATION HOSPITAL & CLINICS
Organization
Home Health1401 MORRIS DR
OKMULGEE, OK 74447
(918) 758-0086
1508253865CREEK NATION HOSPITAL & CLINICS
Organization
Home Health1401 MORRIS DR
OKMULGEE, OK 74447
(918) 758-0086
1558489641OKMULGEE MEMORIAL HOSPITAL
Organization
Medicare Defined Swing Bed Unit1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1710492558MS. TINA MARIE QUALLS LCSW
Individual
Social Worker1401 MORRIS DR
OKMULGEE, OK 74447
(918) 758-1910
1033511480CREEK NATION HOSPITAL & CLINICS
Organization
General Acute Care Hospital1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1376946608CREEK NATION HOSPITAL & CLINICS
Organization
Psychiatric Unit1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1376972471CREEK NATION HOSPITAL & CLINICS
Organization
Medicare Defined Swing Bed Unit1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1407243777CREEK NATION HOSPITAL & CLINICS
Organization
General Acute Care Hospital1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1598152860CREEK NATION HOSPITAL & CLINICS
Organization
Psychiatric Unit1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1689061947CREEK NATION HOSPITAL & CLINICS
Organization
General Acute Care Hospital1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1790115426CREEK NATION HOSPITAL & CLINICS
Organization
Psychiatric Unit1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1861889123CREEK NATION HOSPITAL & CLINICS
Organization
General Acute Care Hospital1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1902236573CREEK NATION HOSPITAL & CLINICS
Organization
General Acute Care Hospital1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233
1376979955CREEK NATION HOSPITAL & CLINICS
Organization
Long Term Care Hospital1401 MORRIS DR
OKMULGEE, OK 74447
(918) 756-4233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609865666, enumerated in the NPI registry as an "organization" on October 20, 2005

The provider is located at 1401 Morris Dr Okmulgee, Ok 74447 and the phone number is (918) 756-3410

This medical organization specializes in Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services

The provider's CLIA number is 37D0891192 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.