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STATE OF OKLAHOMA MEDICAL CENTER LLC
NPI 1740177401
General Practice in Oklahoma City, OK

Active since June 23, 2025
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102(510) 456-8143 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About State Of Oklahoma Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF OKLAHOMA MEDICAL CENTER LLC (NPI 1740177401) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since June 2025. The organization lists Cristine Hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740177401
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSTATE OF OKLAHOMA MEDICAL CENTER LLC
Location Address101 PARK AVE STE 1300Oklahoma City, OK 73102-7216
Mailing Address4570 S Eastern Ave Ste 28Las Vegas, NV 89119-6183
Phone(510) 456-8143
Organization SubpartNo
Authorized OfficialCristine HernandezCeo · (510) 456-8143
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1740177401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X
101 PARK AVE STE 1300, Oklahoma City, OK 73102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS Y LEWIS
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 689-9820
ALURA HORN
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (828) 351-4466
DE'ANNA THOMAS
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (828) 351-4466
JALISA EDWARDS
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (732) 806-0091
LATASHA RENA MCGUIRE
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 689-9820
MACKENZIE MEADOR
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (828) 351-4466
VERONICA TULLIS
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (732) 806-0091
BLAKE ROOD
Behavior Technician
101 PARK AVE STE 1300
OKLAHOMA CITY, OK 73102
Oklahoma County (732) 806-0091

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Oklahoma Medical Center LLC's NPI number?

The NPI number for State Of Oklahoma Medical Center LLC is 1740177401. It was assigned to this organization in the NPPES registry on June 23, 2025.

Where is State Of Oklahoma Medical Center LLC located?

State Of Oklahoma Medical Center LLC is located at 101 Park Ave Ste 1300, Oklahoma City, OK 73102. The listed phone number is (510) 456-8143.

What is State Of Oklahoma Medical Center LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for State Of Oklahoma Medical Center LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.