Organization Active NPI

Ahmad Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Tahlequah, OK
National Provider Identifier
1609005842
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
23648 Issued in OK
Legal business name
AHMAD PEDIATRICS
Practice address
302 E Downing St
Tahlequah, OK 74464-3014
Phone
(918) 458-9444
Fax
(918) 458-9445
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Yahya M. Ahmad, M.D.
Title
Owner
Phone
(918) 458-9994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 23648 OK Primary

Addresses

Primary practice location

302 E Downing St
Tahlequah, OK 74464-3014

Mailing address

302 E Downing St
Tahlequah, OK 74464-3014
Phone (918) 458-9444

National Provider Directory

National Provider Directory

Locations

1621 S Eucalyptus Ave
Ste 204
Broken Arrow, OK 74012
Phone (918) 252-7952

302 E Downing St
Tahlequah, OK 74464
Phone (915) 456-0655

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1609005842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643014",
            "telephone_number": "918-458-9444",
            "fax_number": "918-458-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643014",
            "telephone_number": "918-458-9444",
            "fax_number": "918-458-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-458-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OK",
            "license": "23648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.