Frank A Desandre Jr., M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD0000034302 Issued in TN

Practice address

12451 E 100TH St N
Owasso, OK 74055-4600

Phone

(918) 274-5000

Fax

(918) 274-5117

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. John Physicians, Inc

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD (past)
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)
• Highland Rim Anesthesia, P.C.

  • Anesthesiology Physician
  • Tullahoma, TN
  • NPI 1073554960
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1538196399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12451 E 100TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-5000",
            "fax_number": "918-274-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12451 E 100TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-5000",
            "fax_number": "918-274-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANDRE",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "MD0000034302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Delaney, APRN
• Denise Johnson, OD,PLLC
• April Breanne Denney, PHARM.D
• Dental Depot of Owasso, PLLC
• Dental Professionals of Ok, PC
• Amber Devilbiss
• Kenzie Devore
• Diagnostic Laboratory of Oklahoma LLC
• Emma Brummet Dirrim, M.S.
• Gregory Paul Disalvatore, DO

• Anesthesiology Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.