NPI
Anesthesia Associates of Grand Lake
NPI 1841525193
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2009-10-05
- Last updated
- 2010-01-11
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1001 E 18th St
- City
- Grove OK
- Postal code
- 74344-2907
- Phone
- (918) 787-8980
Organization contact
- Name
- Marvin Goodman
- Title
- MANAGER and MEMBER
- Phone
- (918) 787-8980
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Grove, OK. 502 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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