PROVIDENCE PHYSICIAN GROUP INC
NPI 1861436636
Nurse Anesthetist, Certified Registered in Muskogee, OK
NPI Status: Active since June 15, 2006
Contact Information
300 ROCKEFELLER DR
MUSKOGEE, OK
ZIP 74401
Phone: (918) 684-2557
Fax: (405) 948-6507
- Organization
- Nurse Anesthetist, Certified Registered
About PROVIDENCE PHYSICIAN GROUP INC
This page provides the complete NPI Profile along with additional information for Providence Physician Group Inc, a provider established in Muskogee, Oklahoma operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1861436636 assigned on June 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Physician Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jim Blair (Ceo)
- NPI
- 1861436636
- Provider Name
- PROVIDENCE PHYSICIAN GROUP INC
- Entity Type
- Organization
- Location Address
- 300 ROCKEFELLER DR MUSKOGEE, OK 74401
- Location Phone
- (918) 684-2557
- Location Fax
- (405) 948-6507
- Mailing Address
- PO BOX 1664 MUSKOGEE, OK 74402
- Mailing Phone
- (405) 947-8585
- Mailing Fax
- (405) 948-6507
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA6664 | OTHER (01) | OK | RAILROAD MEDICARE |
| 3159009 | OTHER (01) | OK | AETNA |
Reviews for PROVIDENCE PHYSICIAN GROUP INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861436636, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
MUSKOGEE, OK 74401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861436636, enumerated as an "organization" on June 15, 2006.
The provider is located at 300 ROCKEFELLER DR MUSKOGEE, OK 74401 and the phone number is (918) 684-2557.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.
