Active NPI
Okwapeds
- Pediatric Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1811227911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 12416
- Legal business name
- OKWAPEDS
- Practice address
- 1211 N Shartel Ave Ste 606
Oklahoma City, OK 73103-2425 - Phone
- (405) 235-9955
- Fax
- (405) 601-4044
- NPI assigned
- Jan 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wazir S Ahmad, M.D.
- Title
- Owner
- Phone
- (405) 235-9955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 12416 | OK | Primary |
Addresses
Primary practice location
1211 N Shartel Ave Ste 606
Oklahoma City, OK 73103-2425
Mailing address
1211 N Shartel Ave Ste 606
Oklahoma City, OK 73103-2425
Phone (405) 235-9955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100118340B | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Okwa Peds
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1922262047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263254400000",
"number": "1811227911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N SHARTEL AVE STE 606",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032425",
"telephone_number": "405-235-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N SHARTEL AVE STE 606",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731032425",
"telephone_number": "405-235-9955",
"fax_number": "405-601-4044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKWAPEDS",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-12",
"last_updated": "2010-01-12",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "WAZIR",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-235-9955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OK",
"license": "12416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100118340B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.