Individual provider Active NPI

Claudia L. Rossavik, M.D.

  • Primary Care Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1932328473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
17170 Issued in OK
Practice address
8009 Lakehurst Dr
Oklahoma City, OK 73120-4325
Phone
(405) 842-2941
Fax
(405) 842-7920
NPI assigned
Apr 24, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 17170 OK Primary

Addresses

Primary practice location

8009 Lakehurst Dr
Oklahoma City, OK 73120-4325

Mailing address

8009 Lakehurst Dr
Oklahoma City, OK 73120-4325
Phone (405) 842-2941

Other names 1

  • Dr. Claudia Lagos Rossavik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17170OKMDPrimary Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932328473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 LAKEHURST DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204325",
            "telephone_number": "405-842-2941",
            "fax_number": "405-842-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 LAKEHURST DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204325",
            "telephone_number": "405-842-2941",
            "fax_number": "405-842-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSAVIK",
        "first_name": "CLAUDIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "17170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "ROSSAVIK",
            "middle_name": "LAGOS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 8, 2007; 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.