Individual provider Active NPI

Ranim Bittar

  • Anatomic Pathology & Clinical Pathology Physician
  • Oklahoma City, OK
National Provider Identifier
1518687680
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
39565 Issued in OK
Practice address
940 Stanton L Young Blvd
Oklahoma City, OK 73104-5020
Phone
(405) 271-2451
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39565 OK Primary

Addresses

Primary practice location

940 Stanton L Young Blvd
Oklahoma City, OK 73104-5020

Mailing address

18713 Rush Springs LN
Edmond, OK 73012-1219

Other practice location 1

18713 Rush Springs Ln
Edmond, OK 73012-1219
Phone (424) 558-9492

Other identifiers 1

IdentifierTypeStateIssuer
T823216118OtherOKHMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ranim-bittar@ouhsc.edu

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
39565OKMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1518687680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18713 RUSH SPRINGS LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730121219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045020",
            "telephone_number": "405-271-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18713 Rush Springs Ln",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730121219",
            "country_code": "US",
            "telephone_number": "424-558-9492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITTAR",
        "first_name": "RANIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "39565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "T823216118",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ranim-bittar@ouhsc.edu",
            "affiliation": "N",
            "address_1": "940 Stanton L Young Blvd",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731045020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 30, 2022; 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.