Individual provider Active NPI

Oswald Llanderosos, M.D.

  • Nephrology Physician
  • Norman, OK
National Provider Identifier
1679554737
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
11647 Issued in OK
Practice address
1553 N Porter Ave
Norman, OK 73071-6621
Phone
(405) 217-8500
Fax
(405) 217-8501
NPI assigned
Nov 7, 2005
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 11647 OK Primary

Addresses

Primary practice location

1553 N Porter Ave
Norman, OK 73071-6621

Mailing address

1553 N Porter Ave
Norman, OK 73071-6621
Phone (405) 217-8500

Other identifiers 1

IdentifierTypeStateIssuer
100108050AMedicaidOK

Other names 1

  • Osvaldo R Llan de Rosos Former name

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)
Enrolled
Credentials
Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1679554737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716621",
            "telephone_number": "405-217-8500",
            "fax_number": "405-217-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716621",
            "telephone_number": "405-217-8500",
            "fax_number": "405-217-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANDEROSOS",
        "first_name": "OSWALD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "11647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSVALDO",
            "last_name": "LLAN DE ROSOS",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 18, 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.