Andrea L Sestak, MD, PHD

Primary specialty

Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X

License

22950 Issued in OK

Practice address

3555 NW 58TH St Ste 804
Oklahoma City, OK 73112-4703

Phone

(405) 548-0430

Fax

(405) 463-4408

NPI assigned

Nov 4, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sestak Rheumatology

  • Pediatric Rheumatology Physician
  • Oklahoma City, OK
  • NPI 1164140679

  Pediatrics

  NPD Authorized official
• Amy Libel Darter MD PC

  • Allergy & Immunology Physician
  • Oklahoma City, OK
  • NPI 1790964146
  NPD (past)

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1700113289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BRECKENRIDGE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137651",
            "telephone_number": "405-255-4170",
            "fax_number": "650-727-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 NW 58TH ST STE 804",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124703",
            "telephone_number": "405-548-0430",
            "fax_number": "405-463-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTAK",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "22950",
            "primary": false
        },
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "OK",
            "license": "22950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua David Servantez, PA-C
• Lorrie Servati, RBT
• Tara Servello
• Jennifer Serwan, MD
• Sestak Rheumatology
• Susan L. Settle, D.D.S.
• Amy L Settles, ACSW,LCSW
• Regan Settles
• Robert M Settles, LCSW
• Caleb Z Sever, APRN

• Pediatric Rheumatology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Rheumatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.