Organization
GRADY MEMORIAL HOSPITAL
Active
Other names
Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE PAUTLER (CEO)
(405) 779-2150
Entity
Organization
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2143
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-2300
(405) 779-2143
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700820F
—
OK
01
—
C05031
RAILROAD MEDICARE
OK
Enumeration date
10/18/2005
Last updated
01/06/2026
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