Ardeshir F. Nia, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24784 Issued in OK

Legal business name

ARDESHIR F. NIA, MD, PC

Practice address

1211 E Lincoln Rd
Idabel, OK 74745-7342

Phone

(580) 286-4300

Fax

(580) 286-5530

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ardeshir Faghih Nia, MD

Title

Owner/ President

Phone

(580) 286-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1245477306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457342",
            "telephone_number": "580-286-4300",
            "fax_number": "580-286-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747457342",
            "telephone_number": "580-286-4300",
            "fax_number": "580-286-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDESHIR F. NIA, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "NIA",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_middle_name": "FAGHIH",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "580-286-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DP4346",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200234100A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Idabel, OK
• Providers in Idabel, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.