Oklahoma Pediatric Digestive Institute, PLLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

OKLAHOMA PEDIATRIC DIGESTIVE INSTITUTE, PLLC

Practice address

3300 NW 56TH St Ste 300
Oklahoma City, OK 73112-4401

Phone

(405) 844-5221

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Maryam Shambayati, DONPI 1235486416

Title

Ceo

Phone

(405) 245-8004

Specialties & licenses 1

Addresses

Practitioners 1

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

• Maryam Shambayati, D.O.

  • Pediatric Gastroenterology Physician
  • Oklahoma City, OK
  • NPI 1235486416
  NPD (past) Authorized official

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1891470035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 56TH ST STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124401",
            "telephone_number": "405-844-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW 56TH ST STE 300",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124401",
            "telephone_number": "405-844-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA PEDIATRIC DIGESTIVE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "SHAMBAYATI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-245-8004",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Gastroenterology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Gastroenterology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.