Paradigm Hormones -Edmond

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PARADIGM HORMONES -EDMOND

Practice address

1301 S I 35 Service Rd
Ste 106
Moore, OK 73160-3182

Phone

(405) 703-3614

Fax

(405) 703-7021

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Nikki Busellato

Title

Ins.Credentialing

Phone

(405) 703-3614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1639604101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S I 35 SERVICE RD",
            "address_2": "STE 106",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603182",
            "telephone_number": "405-703-3614",
            "fax_number": "405-703-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM HORMONES -EDMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "BUSELLATO",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "INS.CREDENTIALING",
        "authorized_official_telephone_number": "405-703-3614"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palliative Care Procedures
• Allie Palmer
• Diamond Palmer
• Keeley Palmer
• Amanda D Palumbo, PA
• Paradigm Hormones, PLLC
• Hali Pardue
• Paige Parkey, CCC-SLP
• Carmen Delilah Parra
• Carson Paskowski, DDS

• Clinic/Center in Moore, OK
• Providers in Moore, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.