Grand Lake Regional Cardiology Services LLC
NPI 1811996861 · Interventional Cardiology Physician · Grove, OK
Grand Lake Regional Cardiology Services LLC is a Interventional Cardiology Physician organization in Grove, OK (NPI 1811996861).
Provider details
- NPI number
- 1811996861
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Callicoat, Physician Manager(918) 786-7667
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2022-07-21
Frequently asked questions
- What is Grand Lake Regional Cardiology Services LLC's NPI number?
- Grand Lake Regional Cardiology Services LLC's National Provider Identifier (NPI) is 1811996861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Lake Regional Cardiology Services LLC?
- Grand Lake Regional Cardiology Services LLC is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Lake Regional Cardiology Services LLC located?
- Grand Lake Regional Cardiology Services LLC's practice location on file with NPPES is 1001 E 18th St, Grove, OK 74344-2907.
- What is Grand Lake Regional Cardiology Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Lake Regional Cardiology Services LLC is (918) 786-1070.
- Who is the authorized official for Grand Lake Regional Cardiology Services LLC?
- The authorized official listed on Grand Lake Regional Cardiology Services LLC's NPPES record is Paul Callicoat, Physician Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Lake Regional Cardiology Services LLC's NPI active?
- Yes — Grand Lake Regional Cardiology Services LLC's NPI (1811996861) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.