Active NPI
Lata B Vad, M.D.
- Psychiatry Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13502
- Practice address
- 2129 SW 59TH St
Oklahoma City, OK 73119-7024 - Phone
- (405) 685-6671
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13502 | OK | Primary |
Addresses
Primary practice location
2129 SW 59TH St
Oklahoma City, OK 73119-7024
Mailing address
3801 NW 63Rd St
Suite 160
Oklahoma City, OK 73116-1921
Phone (405) 858-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100019370A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care of Oklahoma Inc | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| Quyen Ha MD PC | Past | Accepting new patients | |
| Saints Medical Group, LLC | Past | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
3801 NW 63rd St
Ste 160
Oklahoma City, OK 73116
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270
Interoperability endpoints
- lvad37198@direct-ehr-ssmhc.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1033283932
-
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1649602293
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1487677456
-
- Internal Medicine Physician
- Ada, OK
- NPI 1205063658
-
- Internal Medicine Physician
- Shawnee, OK
- NPI 1881648285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1124069059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 NW 63RD ST",
"address_2": "SUITE 160",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161921",
"telephone_number": "405-858-0600",
"fax_number": "405-858-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 SW 59TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731197024",
"telephone_number": "405-685-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAD",
"first_name": "LATA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "13502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100019370A",
"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 Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.