Healthcare Provider Details

I. General information

NPI: 1063891000
Provider Name (Legal Business Name): GION ANESTHESIA SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 05/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 W GRAY ST
NORMAN OK
73069-7117
US

IV. Provider business mailing address

1125 N PORTER AVE STE 301
NORMAN OK
73071-6446
US

V. Phone/Fax

Practice location:
  • Phone: 405-809-4200
  • Fax: 405-364-5379
Mailing address:
  • Phone: 405-217-1124
  • Fax: 405-292-9491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: PHILIP C BIRD
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 405-217-1124