Bethany Perfusion, Pc - NPI: 1093884769
National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.
| Organization Name: | BETHANY PERFUSION, PC |
| NPI Number: | 1093884769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J. MASSONI
(PRESIDENT) |
| Mailing Address: | 3612 N Flamingo Ave
Bethany |
| State: | OK US |
| Postal Code: | 730083664 |
| Phone Number: | 4057872677 |
| Fax Number: | 4057872677 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: | |
Taxonomy Information: |
| Healthcare Provider Taxonomy: | 246ZS0410X |
| License Number: | LP22 |
Healthcare Provider Taxonomy:
(Secondary) | Y |
| State: | OK |
| Taxonomy Type: | |
| Taxonomy Classification: | |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |