MEDICARE: DAVID W VANHOOSER MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME159938	FL
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	14368	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01318812	OTHER	OK	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649279779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID W VANHOOSER MD

Provider Business Mailing Address
First Line	:	5400 N INDEPENDENCE AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5310
Country	:	US
Telephone Number	:	405-951-4345
Fax Number	:	405-951-4392

Provider Business Practice Location Address
First Line	:	3433 NW 56TH ST STE 760
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4461
Country	:	US
Telephone Number	:	405-951-4345
Fax Number	:	405-951-4392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	02/18/2026

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Directions to “ DAVID W VANHOOSER MD” Practice Location

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