MRS. GRETCHEN MICHELLE BEAGLES CCP LP NPI 1154486629

NPI Information

NPI: 1154486629
Provider Name: MRS. GRETCHEN MICHELLE BEAGLES, CCP LP
Classification: Perfusionist - 242T00000X
Entity Type: Individual
Address:
3601 N MAY AVE
SUITE C
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 604-5613
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MRS. Gretchen Michelle Beagles, CCP LP is a perfusionist in Oklahoma City, OK. The provider is a perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. MRS. Gretchen Michelle Beagles, CCP LP NPI is 1154486629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3601 N MAY AVE
SUITE C
OKLAHOMA CITY, OK
ZIP 73112-641
Phone: (405) 604-5613
Fax: (405) 601-3750

The enumeration date for this NPI number is 12/26/2006 and was last updated on 3/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247200000X	Technician, Other		LP63	OKLAHOMA	No
2	242T00000X	Perfusionist		LP63	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	731522080002	OTHER		BCBS
2	5993501	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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