Active NPI
Raquel De Sousa Lobo Ferreira Querido, MD
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Oklahoma City, OK
National Provider Identifier
1639829427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 41666
- Practice address
- 800 Stanton L Young Blvd
Aat 1464
Oklahoma City, OK 73104 - Phone
- (405) 271-5504
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 41666 | OK | Primary |
Addresses
Primary practice location
800 Stanton L Young Blvd
Aat 1464
Oklahoma City, OK 73104
Mailing address
800 Stanton L Young Blvd
Aat 1464
Oklahoma City, OK 73104
Phone (405) 271-5504
Other practice location 1
185 S Orange Ave Bldg G-595
Newark, NJ 07103-2757
Phone (973) 972-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41666 | OK | MD | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686355200000",
"number": "1639829427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 STANTON L YOUNG BLVD",
"address_2": "AAT 1464",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STANTON L YOUNG BLVD",
"address_2": "AAT 1464",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-5504"
}
],
"practiceLocations": [
{
"address_1": "185 S Orange Ave Bldg G-595",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071032757",
"country_code": "US",
"telephone_number": "973-972-5018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE SOUSA LOBO FERREIRA QUERIDO",
"first_name": "RAQUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2023-06-10",
"certification_date": "2023-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "OK",
"license": "41666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.