State of Oklahoma Medical Center LLC
NPI 1740177401ActiveOrganization· General Practice· Oklahoma City, OK
General Practice in Oklahoma City, Oklahoma, registered in NPPES in June 2025. The authorized official on file is Cristine Hernandez, Ceo.
Overview
| NPI | 1740177401 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2025 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | 2084B0040X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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