S V Vaidya MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

16078 Issued in OK

Legal business name

S V VAIDYA MD PC

Practice address

400 Fairview Ave
Suite 10
Ponca City, OK 74601-1920

Phone

(580) 762-7734

Fax

(580) 762-6914

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. S V Vaidya, MD

Title

Owner

Phone

(580) 762-7734

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1891969325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "SUITE 10",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-762-7734",
            "fax_number": "580-762-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "SUITE 10",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011920",
            "telephone_number": "580-762-7734",
            "fax_number": "580-762-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S V VAIDYA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-762-7734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "16078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206890B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100185320A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "010998",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.