NPIMap

Organization Active NPI

Okwa Peds

  • Primary Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1922262047
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
12461 Issued in OK
Legal business name
OKWA PEDS
Practice address
1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103-2400
Phone
(405) 235-9955
NPI assigned
Jul 17, 2008
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Wazir S Ahmad, MDNPI 1952365660
Title
Owner
Phone
(405) 235-9955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 12461 OK Primary

Addresses

Primary practice location

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103-2400

Mailing address

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103-2400
Phone (405) 235-9955

Other identifiers 1

IdentifierTypeStateIssuer
100118340BMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Okwa Peds2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1211 N Shartel Ave
Ste 606
Oklahoma City, OK 73103
Phone (405) 367-7824

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1922262047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "STE 606",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-235-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE",
            "address_2": "STE 606",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-235-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKWA PEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "WAZIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-235-9955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "12461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118340B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "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 Jul 17, 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.