Organization Active NPI

Ganga M Pujari

  • Specialist
  • Midwest City, OK
National Provider Identifier
1942409990
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13134 Issued in OK
Legal business name
GANGA M PUJARI
Practice address
6908 E Reno Ave Ste 104
Midwest City, OK 73110-2120
Phone
(405) 736-0055
Fax
(405) 736-6311
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Gerri A Osborn, MD
Title
General Surgeon
Phone
(405) 736-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13134 OK Primary

Addresses

Primary practice location

6908 E Reno Ave Ste 104
Midwest City, OK 73110-2120

Mailing address

6908 E Reno Ave Ste 104
Midwest City, OK 73110-2120
Phone (405) 736-0055

Other identifiers 1

IdentifierTypeStateIssuer
1003590AMedicaidOK

National Provider Directory

National Provider Directory

Locations

6908 E Reno Ave
Ste 104
Midwest City, OK 73110
Phone (405) 736-0055

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1942409990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 E RENO AVE STE 104",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102120",
            "telephone_number": "405-736-0055",
            "fax_number": "405-736-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 E RENO AVE STE 104",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102120",
            "telephone_number": "405-736-0055",
            "fax_number": "405-736-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANGA M PUJARI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "GERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "405-736-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "13134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.