Organization Active NPI

Gabriel M P Itman DO PC

  • Neurology Physician
  • Oklahoma City, OK
National Provider Identifier
1174889802
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4018 Issued in OK
Legal business name
GABRIEL M P ITMAN DO PC
Practice address
401 SW 80TH St
#201
Oklahoma City, OK 73139-8122
Phone
(405) 632-9090
Fax
(405) 632-9097
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Gabriel M Pitman, DO
Title
Owner
Phone
(405) 632-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 4018 OK Primary

Addresses

Primary practice location

401 SW 80TH St
#201
Oklahoma City, OK 73139-8122

Mailing address

401 SW 80TH St
#201
Oklahoma City, OK 73139-8122
Phone (405) 632-9090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1174889802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST",
            "address_2": "#201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398122",
            "telephone_number": "405-632-9090",
            "fax_number": "405-632-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST",
            "address_2": "#201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398122",
            "telephone_number": "405-632-9090",
            "fax_number": "405-632-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL M P ITMAN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "PITMAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-632-9090",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 6, 2012; 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.