Northeastern Oklahoma Advanced Neurotherapeutics LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25610 Issued in OK

Legal business name

NORTHEASTERN OKLAHOMA ADVANCED NEUROTHERAPEUTICS LLC

Practice address

3450 E Frank Phillips Blvd
Suite 100
Bartlesville, OK 74006-2406

Phone

(918) 338-3781

Fax

(918) 338-3782

NPI assigned

Jan 29, 2010

Organization subpart

No

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

Authorized official

Name

Walter A Lajara-Nanson, MD

Title

Sole Member

Phone

(918) 338-3781

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sheri L Reinhard, MD

  • Family Medicine Physician
  • Bartlesville, OK
  • NPI 1306838248
  NPD (past)

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1891026902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 100",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062406",
            "telephone_number": "918-338-3781",
            "fax_number": "918-338-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E FRANK PHILLIPS BLVD",
            "address_2": "SUITE 100",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062406",
            "telephone_number": "918-338-3781",
            "fax_number": "918-338-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OKLAHOMA ADVANCED NEUROTHERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "LAJARA-NANSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "918-338-3781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "25610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Nitzschke, LCSW
• Allison Janean Nixon
• Andrew Max Noble, D.D.S.
• Khyrstee Daven Norman
• Northeast Oklahoma Radiology Physicians LLC
• Northern Oklahoma Dermatology
• NR Bartlesville LLC
• Ntcob LLC
• Nujoint LLC
• Tracey Nunez, DPH

• Neurology Physician in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.