NPI 1164527727

Sooner Geriatrics, LLC

Organisation Skilled Nursing Facility Oklahoma City, OK

Practice location

Address: 1913 NE 50th St, Oklahoma City, OK 73111-7003
Phone: (405) 427-5414
Fax: (405) 427-5432
Mailing address: 1921 NE 50th St, Oklahoma City, OK 73111-2420

Authorised official

Name: Kristy Deroin
Title: Director of Reimbursement
Phone: (405) 943-1144

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH5501-5501 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1164527727
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 6 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.