Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carrus Lakeside Hospital LLC

Organization Emergency Medicine Physician · NPI 1538921184

Carrus Lakeside Hospital LLC is an Emergency Medicine Physician in Bristow, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

700 W 7th Ave Ste 6
Bristow, OK 74010-2302
Phone: (918) 807-5033
Fax: (918) 367-4481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1538921184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anbu Nachimuthu — Chairman & Ceo · (903) 870-2745
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 29, 2024
Mailing address1810 W Us Highway 82, Sherman, TX 75092-7069