Divine Prosperity LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

25877 Issued in OK

Legal business name

DIVINE PROSPERITY LLC

Practice address

1104 E State Highway 152 Unit 1
Mustang, OK 73064-5116

Phone

(405) 563-3998

Fax

(405) 563-3998

NPI assigned

Jun 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kishore Kumar, MDNPI 1265626832

Title

Owner

Phone

(855) 541-2862

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kishore Kumar, M.D.

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1265626832
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1023548948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15317 GRAYSON DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132601",
            "telephone_number": "855-541-2862",
            "fax_number": "405-716-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E STATE HIGHWAY 152 UNIT 1",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730645116",
            "telephone_number": "405-563-3998",
            "fax_number": "405-563-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE PROSPERITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-541-2862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "25877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debby Doughty, PHD, LLC
• Mackenzie Dennis, N.P.
• Melody Ann Denton, ARNP
• Awedam Depona
• Holly Florence Dickenson
• Jason Tyler Dobson, O.D.
• Jennifer Denise Donihoo, RN
• Alison Renee Donnelly, OTR/L
• Courtney Rae Doyle, D.C.
• Dr. Sid C. Vaught, P.C.

• Hospitalist Physician in Mustang, OK
• Providers in Mustang, OK by specialty
• Hospitalist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.