NPIMap

Organization Active NPI

Crescent Infectious Diseases PLLC

  • Infectious Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1396100152
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
29704 Issued in OK
Legal business name
CRESCENT INFECTIOUS DISEASES PLLC
Practice address
5224 E I 240 Service Rd
Oklahoma City, OK 73135-2607
Phone
(855) 541-2862
NPI assigned
Dec 22, 2015
Organization subpart
Yes
Parent organization
CRESCENT INFECTIOUS DISEASES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Saud Ahmed, M.DNPI 1558507962
Title
Ceo
Phone
(405) 563-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X 29704 OK Primary

Addresses

Primary practice location

5224 E I 240 Service Rd
Oklahoma City, OK 73135-2607

Mailing address

5224 E I 240 Service Rd
Oklahoma City, OK 73135-2607

National Provider Directory

National Provider Directory
Tax ID family
Cres Inf Dis PLLC2 organizations share this tax ID, including this one
Part of
Cres Inf Dis PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1396100152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 E I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 E I 240 SERVICE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731352607",
            "telephone_number": "855-541-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT INFECTIOUS DISEASES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRESCENT INFECTIOUS DISEASES PLLC",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SAUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-563-3998",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "29704",
            "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 Dec 22, 2015; 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.