Individual provider Active NPI

Aysha Syed, MD

  • Pediatrics Physician
  • Guthrie, OK
National Provider Identifier
1790021392
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39754 Issued in OK
Practice address
2919 S Division St
Guthrie, OK 73044-6806
Phone
(405) 282-6301
Fax
(405) 282-6364
NPI assigned
Dec 31, 2012
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 73848 GA
Pediatrics Physician 208000000X 39754 OK Primary

Addresses

Primary practice location

2919 S Division St
Guthrie, OK 73044-6806

Mailing address

2919 S Division St
Guthrie, OK 73044-6806
Phone (405) 282-6301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809002784 OK Practitioner - Pediatric Medicine 1658625736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73848GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Aug 1, 2022 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Aug 1, 2022 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Pediatric First, PC Pediatrics Past Accepting new patients
Mercy Hospital Logan County, Inc Past Accepting new patients

Locations

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

Interoperability endpoints

  • Direct secure messaging: asyed@tiffanypeds.gwaydirect.com

Organizations & group practices 7

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": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1790021392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446806",
            "telephone_number": "405-282-6301",
            "fax_number": "405-282-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 S DIVISION ST",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730446806",
            "telephone_number": "405-282-6301",
            "fax_number": "405-282-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "AYSHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "73848",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "39754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.