Organization Active NPI

Osvaldo Llan de Rosos MD Inc

  • Nephrology Physician
  • Norman, OK
National Provider Identifier
1922136472
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
11647 Issued in OK
Legal business name
OSVALDO LLAN DE ROSOS MD INC
Practice address
1553 N Porter Ave
Norman, OK 73071-6621
Phone
(405) 217-8500
Fax
(405) 217-8501
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Oswald Llanderosos, MD
Title
President
Phone
(405) 217-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 11647 OK Primary

Addresses

Primary practice location

1553 N Porter Ave
Norman, OK 73071-6621

Mailing address

1553 N Porter Ave
Norman, OK 73071-6621
Phone (405) 217-8500

Other identifiers 1

IdentifierTypeStateIssuer
100108050AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1000 N Lincoln Blvd
Ste 370
Oklahoma City, OK 73104
Phone (405) 236-1111

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1922136472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716621",
            "telephone_number": "405-217-8500",
            "fax_number": "405-217-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716621",
            "telephone_number": "405-217-8500",
            "fax_number": "405-217-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSVALDO LLAN DE ROSOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "LLANDEROSOS",
        "authorized_official_first_name": "OSWALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-217-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "11647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.