Active NPI
Sycamore Branch Inc
- Nephrology Physician
- Oklahoma City, OK
National Provider Identifier
1902449671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- SYCAMORE BRANCH INC
- Practice address
- 810 NW 10TH St Ste a
Oklahoma City, OK 73106-7216 - Phone
- (405) 272-8367
- NPI assigned
- Oct 24, 2019
- Last updated
- Dec 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Ghata, MD
- Title
- Owner
- Phone
- (405) 413-3487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
810 NW 10TH St Ste a
Oklahoma City, OK 73106-7216
Mailing address
PO Box 892037
Oklahoma City, OK 73189-2037
Phone (405) 691-4703
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OKLAHOMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Oklahoma City, OK
- NPI 1972025419
-
- Nephrology Physician
- Oklahoma City, OK
- NPI 1215258017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1902449671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 892037",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731892037",
"telephone_number": "405-691-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 NW 10TH ST STE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731067216",
"telephone_number": "405-272-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYCAMORE BRANCH INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-24",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "GHATA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-413-3487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OKLAHOMA",
"affiliation": "N",
"address_1": "810 NW 10th St Ste A",
"city": "Oklahoma City",
"state": "OK",
"country_code": "US",
"postal_code": "731067216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.