Deaconess Family Care West Hefner

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEACONESS FAMILY CARE WEST HEFNER

Doing business as

Deaconess Family Care West Hefner

Practice address

7221 W Hefner Rd
Oklahoma City, OK 73162-4505

Phone

(405) 470-6900

Fax

(405) 470-6900

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Waddah N. Nassar, MD

Title

Owner

Phone

(405) 470-6900

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Deaconess Family Care West Hefner Doing business as

Tax ID family

Deaconess Family Care West Hefner2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Deaconess Physician Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
  • NPI 1497926281
  NPD tax ID

Practitioners 1

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

• Janie L. Howard, P.A.

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1992739056
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1811006455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624505",
            "telephone_number": "405-470-6900",
            "fax_number": "405-470-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W HEFNER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731624505",
            "telephone_number": "405-470-6900",
            "fax_number": "405-470-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS FAMILY CARE WEST HEFNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "WADDAH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-470-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200017560A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BC GROUP #",
            "identifier": "20-0276256-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Family Care West Hefner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andre Luiz Pitanga Bastos De Souza, M.D
• Richard Charles De Vuyst II, MD
• Stacey De'Alminana, RBT
• Deaconess Anesthesia Services LLC
• Deaconess Emergency Physicians, LLC
• Deaconess Health System LLC
• Deaconess Health System LLC
• Deaconess Health System LLC
• Deaconess Health System LLC
• Deaconess Physician Services LLC

• Family Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.