MEDICARE: OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1598759730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	PO BOX 1996
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73101-1996
Country	:	US
Telephone Number	:	405-608-3800
Fax Number	:	405-608-3838

Provider Business Practice Location Address
First Line	:	4050 W MEMORIAL RD
Second Line	:	THIRD FLOOR
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8382
Country	:	US
Telephone Number	:	405-608-3800
Fax Number	:	405-608-3838

Authorized Official
Title or Position	:	CFO
Name	:	MARK KLAKULAK
Credential	:
Telephone Number	:	405-608-3780

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1265853758 — COTY BARLOW APRN, CNP
Practice Location Address:

4050 W MEMORIAL RD
OKLAHOMA CITY, OK
73120-8382

Practice Phone: 405-608-3838
Practice Fax: 405-608-3838

1083617005 — OKLAHOMA HEART HOSPITAL, LLC
Practice Location Address:

4050 W MEMORIAL RD
OKLAHOMA CITY, OK
73120-8382

Practice Phone: 405-608-3200
Practice Fax:

1225022585 — CAROLYN RUTH CORN M.D.
Practice Location Address:

4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK
73120-8382

Practice Phone: 405-608-3800
Practice Fax: 405-608-3831

1366436693 — DR. ROBERT MARK BODENHAMER M.D.
Practice Location Address:

4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK
73120-8382

Practice Phone: 405-608-3800
Practice Fax: 405-608-4768

1144214370 — PAMELA CRAVEN M.D.
Practice Location Address:

4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK
73120-8382

Practice Phone: 405-608-3800
Practice Fax: 405-608-1524

1407840689 — DR. PHILIP B. ADAMSON M.D.
Practice Location Address:

4050 W MEMORIAL RD
OKLAHOMA CITY, OK
73120-8382

Practice Phone: 405-608-3800
Practice Fax: 405-608-3838

Directions to “OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.