Active NPI
Norman Internal Medicine, P.C.
- Specialist
- Norman, OK
National Provider Identifier
1962695213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 21906
- Legal business name
- NORMAN INTERNAL MEDICINE, P.C.
- Practice address
- 3101 W Tecumseh Rd Ste 103
Norman, OK 73072-1816 - Phone
- (405) 573-7800
- Fax
- (405) 573-7810
- NPI assigned
- Aug 21, 2007
- Last updated
- Nov 13, 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. Mehran Shahsavari, M.D.
- Title
- Doctor
- Phone
- (405) 573-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21906 | OK | Primary |
Addresses
Primary practice location
3101 W Tecumseh Rd Ste 103
Norman, OK 73072-1816
Mailing address
3101 W Tecumseh Rd Ste 106
Norman, OK 73072-1816
Phone (405) 573-7800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255361648 | Other | OK | NPI |
| 1962695213 | Other | OK | GROUP NPI |
| 100225100A | Medicaid | OK | |
| 37D0988996 | Other | OK | CLIA |
National Provider Directory
National Provider DirectoryLocations
900 N Porter Ave
Ste 206
Norman, OK 73071
Phone (405) 573-7800
3101 W Tecumseh Rd
Ste 103
Norman, OK 73072
Phone (405) 310-4949
3101 W Tecumseh Rd
Ste 106
Norman, OK 73072
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDAGBA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1962695213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 W TECUMSEH RD STE 106",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721816",
"telephone_number": "405-573-7800",
"fax_number": "405-573-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 W TECUMSEH RD STE 103",
"city": "NORMAN",
"state": "OK",
"postal_code": "730721816",
"telephone_number": "405-573-7800",
"fax_number": "405-573-7810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN INTERNAL MEDICINE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-21",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "SHAHSAVARI",
"authorized_official_first_name": "MEHRAN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "405-573-7800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "21906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255361648",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1962695213",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100225100A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "37D0988996",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
- Norman Family Dentistry
- Norman Foot and Ankle Clinic PC
- Norman Heart and Vascular Associates LLC
- Norman Imaging Associates, LLC (Brookhaven Diagnostic Imaging Center)
- Norman Inpatient Physicians PLLC
- Norman Interventional Pain Management PLLC
- Norman Interventional Pain Management, PLLC
- Norman Medical Imaging LLC
- Norman Minor Emergency of NRH (NRH Urgent Care Center)
- Norman MRI Associates, LLC (Brookhaven Diagnostic Imaging Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.