Organization Active NPI

Dianne B Gasbarra MD PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Oklahoma City, OK
National Provider Identifier
1538379367
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
13952 Issued in OK
Legal business name
DIANNE B GASBARRA MD PLLC
Practice address
4200 W Memorial Rd
Suite 405
Oklahoma City, OK 73120-9350
Phone
(405) 749-0210
Fax
(405) 749-8311
NPI assigned
May 23, 2007
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dianne Gasbarra, MDNPI 1225020282
Title
Managing Partner
Phone
(405) 749-0210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 13952 OK Primary

Addresses

Primary practice location

4200 W Memorial Rd
Suite 405
Oklahoma City, OK 73120-9350

Mailing address

4200 W Memorial Rd
Suite 405
Oklahoma City, OK 73120-9350
Phone (405) 749-0210

Other identifiers 1

IdentifierTypeStateIssuer
100020190AMedicaidOK

National Provider Directory

National Provider Directory

Locations

4200 W Memorial Rd
Ste 405
Oklahoma City, OK 73120
Phone (405) 749-0210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1538379367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 405",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-749-0210",
            "fax_number": "405-749-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 405",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-749-0210",
            "fax_number": "405-749-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE B GASBARRA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "GASBARRA",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "405-749-0210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OK",
            "license": "13952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020190A",
            "state": "OK"
        }
    ],
    "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 Mar 2, 2011; 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.