Organization Active NPI

Internal Medicine & Geriatric Practice, PC

  • Health Service Clinic/Center
  • Norman, OK
National Provider Identifier
1609929660
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
INTERNAL MEDICINE & GERIATRIC PRACTICE, PC
Practice address
3100 Northwest Blvd
Norman, OK 73072-4115
Phone
(405) 310-9345
Fax
(405) 337-9650
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Dr. Lakshmi Ramakrishnan, MD
Title
Physician Owner
Phone
(405) 445-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3100 Northwest Blvd
Norman, OK 73072-4115

Mailing address

4400 Willow Grove Dr
Norman, OK 73072-4910
Phone (405) 310-9345

Other identifiers 1

IdentifierTypeStateIssuer
100846810AMedicaidOK

National Provider Directory

National Provider Directory

Locations

3100 Northwest Blvd
Norman, OK 73072
Phone (405) 310-9345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1609929660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 WILLOW GROVE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724910",
            "telephone_number": "405-310-9345",
            "fax_number": "405-337-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NORTHWEST BLVD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730724115",
            "telephone_number": "405-310-9345",
            "fax_number": "405-337-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & GERIATRIC PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2023-12-29",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "RAMAKRISHNAN",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "405-445-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100846810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.