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

Grand Lake Regional Cardiology Services LLC

Organization Interventional Cardiology Physician · NPI 1811996861

Grand Lake Regional Cardiology Services LLC is an Interventional Cardiology Physician in Grove, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.

Licensed in
OK
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 E 18th St
Grove, OK 74344-2907
Phone: (918) 786-1070
Fax: (918) 786-7699
Show map & directions

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

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X (OK)

Record details

NPI number1811996861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Callicoat — Physician Manager · (918) 786-7667
NPI enumeratedJuly 20, 2005
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 452438, Grove, OK 74345-2438

Other providers in Grove