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

Moonlight Anesthesia Consulting Inc

Organization Anesthesiology Physician · NPI 1669116455

Moonlight Anesthesia Consulting Inc is an Anesthesiology Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3705 NW 63rd St
Oklahoma City, OK 73116-1935
Phone: (405) 213-5351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1669116455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Wilmarth — Crna · (405) 213-5351
NPI enumeratedApril 26, 2022
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022
Mailing address2115 Bellaire Dr, Moore, OK 73160-4206

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