Active NPI
Jorg Johannes Pahl, M.D
- Addiction Medicine (Psychiatry & Neurology) Physician
- Oklahoma City, OK
National Provider Identifier
1316124605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 17260
- Practice address
- 3909 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2650 - Phone
- (405) 525-6500
- Fax
- (405) 525-3700
- NPI assigned
- Jan 29, 2008
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 17260 | OK | Primary |
Addresses
Primary practice location
3909 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2650
Mailing address
3909 N Classen Blvd Ste 200
Oklahoma City, OK 73118-2650
Phone (405) 525-6500
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17260 | OK | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1316124605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 N CLASSEN BLVD STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182650",
"telephone_number": "405-525-6500",
"fax_number": "405-525-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 N CLASSEN BLVD STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182650",
"telephone_number": "405-525-6500",
"fax_number": "405-525-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHL",
"first_name": "JORG",
"middle_name": "JOHANNES",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "OK",
"license": "17260",
"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 Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.