Rosemary N Ayitey, M.D.
Individual provider Active NPI Family Medicine Physician · Moore, OK
NPI 1881678076 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1881678076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 22326 (OK)
- Practice address
- 700 S Telephone Rd
Moore, OK 73160 - Phone
- (405) 912-3120
- Fax
- (405) 912-3139
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22326 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- rayitey@chciokc.directbygreenway.com
- rosemary.ayitey.1@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22326 | OK | Yes |
Addresses
Primary practice location
700 S Telephone Rd
Moore, OK 73160
Mailing address
PO Box 1330
Norman, OK 73070-1330
Phone (405) 912-3120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200007760B | Medicaid | OK | |
| 200007760A | Medicaid | OK | |
| 22326 | Other | OK | MEDICAL LICENSE |
Other providers in Moore, OK
- Carol Aulner
- Teah Lynn Ausmus
- Julie Austin
- Tia Autry
- Neil William Ayers
- Halley Bailey
- Balance Women'S Health, LLC
- Sharlet Ann Ball
- Jennifer Bantle
- Catherine Eugenia Bardeaux
All providers in Moore, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.