Audra Michelle Yadack, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

32083 Issued in OK

Practice address

4601 N Classen Blvd
Oklahoma City, OK 73118-4815

Phone

(405) 840-9999

Fax

(405) 840-9998

NPI assigned

Jun 3, 2010

Last updated

Dec 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Audra Michelle Wendt Former name

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

University of Oklahoma College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs Oklahoma City LLCGroup PAC ID 6507878113, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Uhs Oklahoma City LLC

  dba Cedar Ridge Behavioral Hospital

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1083985600
  Medicare reassignment Care Compare group NPD
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009

  OK

  Medicare reassignment
• Optum Behavioral Care of Virginia, Inc.

  • Psychologist
  • Oklahoma City, OK
  • NPI 1134992548
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1851611602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE. SUNY DOWNSTATE MEDICAL CENTER",
            "address_2": "DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731184815",
            "telephone_number": "405-840-9999",
            "fax_number": "405-840-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADACK",
        "first_name": "AUDRA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OK",
            "license": "32083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDRA",
            "last_name": "WENDT",
            "middle_name": "MICHELLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan David Wyssmann, PHARM-D
• Willa Xie
• Angela Jiajin Xing, MD
• Yan Xiong, MD
• Vicki Grace Yackeyonny, RMA
• Riddhi Vikas Yadav
• J Travis Yadon, O.D.
• Angela Yaffe, MD
• Brooke Ashley Yaffe
• Ikuyo Yamaguchi, MD

• Geriatric Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Geriatric Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.