Organization Active NPI

Gopi Vasudevan MD PC

  • Gastroenterology Physician
  • Bartlesville, OK
National Provider Identifier
1609964139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20059 Issued in OK
Legal business name
GOPI VASUDEVAN MD PC
Practice address
3400 SE Frank Phillips Blvd
MPC Ste 703
Bartlesville, OK 74006-2443
Phone
(918) 331-2544
Fax
(918) 331-2457
NPI assigned
Oct 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gopi Vasudevan, MD
Title
Owner
Phone
(918) 331-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20059 OK Primary

Addresses

Primary practice location

3400 SE Frank Phillips Blvd
MPC Ste 703
Bartlesville, OK 74006-2443

Mailing address

3400 SE Frank Phillips Blvd
MPS Ste 703
Bartlesville, OK 74006-2443
Phone (918) 331-2544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609964139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SE FRANK PHILLIPS BLVD",
            "address_2": "MPS STE 703",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062443",
            "telephone_number": "918-331-2544",
            "fax_number": "918-331-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE FRANK PHILLIPS BLVD",
            "address_2": "MPC STE 703",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062443",
            "telephone_number": "918-331-2544",
            "fax_number": "918-331-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOPI VASUDEVAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASUDEVAN",
        "authorized_official_first_name": "GOPI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-331-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "20059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.