Gopakumar B Damayanthy

Primary specialty

SpecialistTaxonomy code 174400000X

License

1257 Issued in OK

Practice address

8855 E Reno Ave
Midwest City, OK 73110-7729

Phone

(405) 610-3048

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Tulsa, OK
  • NPI 1598332173
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Synergy Care Southeast, LLC

  dba Synergy Care Southeast LLC - Texas

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1427466614
  NPD

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1578821823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 E RENO AVE",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107729",
            "telephone_number": "405-610-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAYANTHY",
        "first_name": "GOPAKUMAR",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yu Cui, M.D.
• Tavarshea T Culberson
• Travis Cunningham
• Lashawna Curry, B.S.
• Amar Kirti Dadwal, M.D.
• Buffy Damron, PA
• Shamaria Marshante Daniel
• Lillian Grace Daniels
• Darryl Wayne Jones Aprn-Crna PC
• Darsco Health LLC

• Specialist in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.