Healthcare Provider Details

I. General information

NPI: 1942217815
Provider Name (Legal Business Name): THE PERINATAL CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY OK
73120
US

IV. Provider business mailing address

4140 W MEMORIAL RD STE 321
OKLAHOMA CITY OK
73120-8300
US

V. Phone/Fax

Practice location:
  • Phone: 405-748-4726
  • Fax: 405-607-8497
Mailing address:
  • Phone: 405-748-4726
  • Fax: 405-607-8497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberE9215
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number18898
License Number StateOK

VIII. Authorized Official

Name: DANA LYNN CUMMINGS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 405-748-4726