DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PORTLAND ANESTHESIA SERVICES LLC

MEDICARE: PORTLAND ANESTHESIA SERVICES LLC
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
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1295688976
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORTLAND ANESTHESIA SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 5501 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-2074
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Authorized Official
Title or Position : MANAGER
Name : MICHAEL CROUCH
Credential :
Telephone Number : 660-826-5960
Provider Enumeration Date : 02/20/2026
Last Update Date : 06/02/2026

Similar Medicare Providers

1558364422 — MICHAEL A THAYER PA
Practice Location Address:
5501 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2074
Practice Phone: 405-604-6000
Practice Fax: 918-664-2521
1083687750 — AMY ELAINE GRECO P.A.
Practice Location Address:
5501 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2074
Practice Phone: 405-604-4380
Practice Fax:
1508827999 — JOHN F JONES MD
Practice Location Address:
5501 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2074
Practice Phone: 918-664-9892
Practice Fax: 918-664-2521
1528025020 — MS. JEAN M COYER N.P.
Practice Location Address:
5501 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2074
Practice Phone: 405-604-6000
Practice Fax:
1700843224 — MR. JERRY D BRINDLEY JR. M.D.
Practice Location Address:
5501 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2074
Practice Phone: 405-604-6000
Practice Fax:
1194783258 — MR. SCOTT A CHAPPELL M.D.
Practice Location Address:
5501 N PORTLAND AVE
OKLAHOMA CITY, OK
73112-2074
Practice Phone: 405-604-6000
Practice Fax:

Directions to “PORTLAND ANESTHESIA SERVICES LLC ” 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.