Active NPI
Johnaqa Saidi, M.D.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1013077130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19400
- Practice address
- 9220 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6909 - Phone
- (405) 691-4497
- Fax
- (405) 692-8807
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19400 | OK | Primary |
Addresses
Primary practice location
9220 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6909
Mailing address
9220 S Pennsylvania Ave Ste a
Oklahoma City, OK 73159-6909
Phone (405) 691-4497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100188790C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19400 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1013077130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 S PENNSYLVANIA AVE STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596909",
"telephone_number": "405-691-4497",
"fax_number": "405-692-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 S PENNSYLVANIA AVE STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596909",
"telephone_number": "405-691-4497",
"fax_number": "405-692-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIDI",
"first_name": "JOHNAQA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "19400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100188790C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.