Individual provider Active NPI

Mark Oyama, DVM

  • Veterinarian
  • Philadelphia, PA
National Provider Identifier
1366792327
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
BV013032 Issued in PA
Practice address
3900 Delancey St
MJR-Vet Hosp University of Pennsylvania
Philadelphia, PA 19104-5052
Phone
(215) 898-2964
Fax
(215) 573-6232
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X BV013032 PA Primary

Addresses

Primary practice location

3900 Delancey St
MJR-Vet Hosp University of Pennsylvania
Philadelphia, PA 19104-5052

Mailing address

3900 Delancey St
MJR-Vet Hosp University of Pennsylvania
Philadelphia, PA 19104-5052
Phone (215) 898-2964

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

State licenses

LicenseStateTypeSpecialty
BV013032PAMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1366792327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 DELANCEY ST",
            "address_2": "MJR-VET HOSP UNIVERSITY OF PENNSYLVANIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045052",
            "telephone_number": "215-898-2964",
            "fax_number": "215-573-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 DELANCEY ST",
            "address_2": "MJR-VET HOSP UNIVERSITY OF PENNSYLVANIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045052",
            "telephone_number": "215-898-2964",
            "fax_number": "215-573-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYAMA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "PA",
            "license": "BV013032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.