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

Pediatric Anesthesia of Oklahoma, PLLC

Organization Anesthesiology Physician · NPI 1467111005

Pediatric Anesthesia of Oklahoma, PLLC is an Anesthesiology Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone: (240) 566-1600
Fax: (770) 701-6718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1467111005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jordan Stabinski — Owner · (240) 566-1600
NPI enumeratedDecember 10, 2021
Last updated in NPPESDecember 10, 2021
Certification dateDecember 8, 2021
Mailing addressPo Box 248994, Oklahoma City, OK 73124

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