Qaisar J Qayyum MD, PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

21912 Issued in OK

Legal business name

QAISAR J QAYYUM MD, PC

Practice address

13974 S Broadway
Edmond, OK 73034-8144

Phone

(405) 562-8715

Fax

(405) 562-8717

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Qaisar J Qayyum, MD

Title

President

Phone

(405) 562-8715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1710907613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31195",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73003",
            "telephone_number": "405-562-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13974 S BROADWAY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730348144",
            "telephone_number": "405-562-8715",
            "fax_number": "405-562-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QAISAR J QAYYUM MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "QAYYUM",
        "authorized_official_first_name": "QAISAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-562-8715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "21912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Purintun
• Lyndi Marie Purkey, LPC, M.A.
• Amber Dawn Purvine, PA-C
• Caitlyn Puryear
• Puzzle Peace Counseling, Inc
• Qaisar Qayyum, M.D.
• Qclinic LLC
• Guizhen Qi
• Quail Springs Counseling PLLC
• Qualgen, LLC

• Geriatric Medicine (Internal Medicine) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Geriatric Medicine (Internal Medicine) Physician in Oklahoma

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