Great Plains Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

GREAT PLAINS CARDIOLOGY LLC

Practice address

105 S Bryant Ave Ste 101
Edmond, OK 73034-6330

Phone

(405) 861-0004

Fax

(855) 680-8890

NPI assigned

Nov 9, 2021

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rakesh Shrivastava, MDNPI 1043250863

Title

Owner

Phone

(405) 642-8613

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rakesh Shrivastava, MD

  • Cardiovascular Disease Physician
  • Edmond, OK
  • NPI 1043250863
  NPD Authorized official
• Monica Roxana Tubbesing, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1063876985
  NPD
• Robin Ann Whittenburg, APRN, CNS

  • Gerontology Clinical Nurse Specialist
  • Edmond, OK
  • NPI 1598434714
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1851057418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8350",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730838350",
            "telephone_number": "405-861-0004",
            "fax_number": "855-680-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE STE 101",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346330",
            "telephone_number": "405-861-0004",
            "fax_number": "855-680-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "SHRIVASTAVA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-642-8613",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy D. Gray, D.P.M.
• Noel Marie Gray, M.DIV
• Philip Michael Gray, DDS
• Sylvia Susana Gray, MD
• Gray's Foot & Ankle Inc.
• Elisabeth Green
• Elizabeth Nicole Green
• Emily Elizabeth Green
• Emriel Tatiana Green
• Holly Green, PA

• Cardiovascular Disease Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Cardiovascular Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.