Organization Active NPI

Midwestern Professional Associates Inc

  • Specialist
  • El Reno, OK
National Provider Identifier
1740470525
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OK11132 Issued in OK
Legal business name
MIDWESTERN PROFESSIONAL ASSOCIATES INC
Practice address
927 S Country Club Rd
El Reno, OK 73036-4907
Phone
(405) 262-9900
Fax
(405) 262-9949
NPI assigned
Jul 27, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Vidya Rege Dravid, M.D.
Title
President
Phone
(405) 262-9900

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

927 S Country Club Rd
El Reno, OK 73036
Phone (405) 262-9900

1503 N Rockwell Ave
Oklahoma City, OK 73127
Phone (405) 495-7373

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OK11132 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

927 S Country Club Rd
El Reno, OK 73036-4907

Mailing address

927 S Country Club Rd
El Reno, OK 73036-4907
Phone (405) 262-9900

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100733140AMedicaidOK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2016.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1740470525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364907",
            "telephone_number": "405-262-9900",
            "fax_number": "405-262-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S COUNTRY CLUB RD",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730364907",
            "telephone_number": "405-262-9900",
            "fax_number": "405-262-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN PROFESSIONAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "REGE DRAVID",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-262-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "OK11132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100733140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.