Active NPI
Ahmad S Jazzar, MD
- Gastroenterology Physician
- Oklahoma City, OK
National Provider Identifier
1568706554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 18466
- Practice address
- 5617 Normandy Ter
Oklahoma City, OK 73142-1823 - Phone
- (405) 974-0218
- Fax
- (405) 755-1166
- NPI assigned
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 18466 | OK | Primary |
Addresses
Primary practice location
5617 Normandy Ter
Oklahoma City, OK 73142-1823
Mailing address
5617 Normandy Ter
Oklahoma City, OK 73142-1823
Phone (405) 974-0218
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18466 | OK | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1568706554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5617 NORMANDY TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731421823",
"telephone_number": "405-974-0218",
"fax_number": "405-755-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 NORMANDY TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731421823",
"telephone_number": "405-974-0218",
"fax_number": "405-755-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAZZAR",
"first_name": "AHMAD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "18466",
"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 Nov 15, 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.