PROVIDENCE PHYSICIAN GROUP INC – Certified Registered Nurse Anesthetist, NPI 1861436636

PROVIDENCE PHYSICIAN GROUP INC is a healthcare provider. based in Muskogee, Oklahoma. specializing in Certified Registered Nurse Anesthetist. The NPI Number for PROVIDENCE PHYSICIAN GROUP INC is 1861436636

Main info

Organization
Name
PROVIDENCE PHYSICIAN GROUP INC
NPI
1861436636
Phone
(405) 947-8585
Address
PO BOX 1664
Authorized Official
JIM BLAIR CEO
Enumeration Date
15 June 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for PROVIDENCE PHYSICIAN GROUP INC

  • Muskogee Post Office, 505, North Main Street, Muskogee, Muskogee County, Oklahoma, 74401, United States

    MUSKOGEE, OK 744021664

    Phone: (405) 947-8585

    Fax: (405) 948-6507

    Type: Mailing

  • Saint Francis Hospital Muskogee, 300, Rockefeller Drive, Muskogee, Muskogee County, Oklahoma, 74401, United States

    MUSKOGEE, OK 744015075

    Phone: (918) 684-2557

    Fax: (405) 948-6507

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74402)

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Reviews

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Frequently asked questions

Where can patients find PROVIDENCE PHYSICIAN GROUP INC's NPI?
You can confirm PROVIDENCE PHYSICIAN GROUP INC with NPI 1861436636; it appears in the national provider directory.
Does this profile mean PROVIDENCE PHYSICIAN GROUP INC is currently active?
Yes — PROVIDENCE PHYSICIAN GROUP INC appears active in the national provider directory.
What does PROVIDENCE PHYSICIAN GROUP INC treat or focus on?
Patients typically see PROVIDENCE PHYSICIAN GROUP INC under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place PROVIDENCE PHYSICIAN GROUP INC?
The snapshot lists Muskogee, Oklahoma for PROVIDENCE PHYSICIAN GROUP INC; download NPPES for the complete set.
How can I contact PROVIDENCE PHYSICIAN GROUP INC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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