Active NPI
Pallu Ad'Ino Israel, B.S.
- Counselor
- Spencer, OK
National Provider Identifier
1972862985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8321 NE 33Rd St
Spencer, OK 73084-3103 - Phone
- (405) 414-5394
- NPI assigned
- May 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
8321 NE 33Rd St
Spencer, OK 73084-3103
Mailing address
12213 Angeles Way
Yukon, OK 73099-1706
Phone (405) 414-5394
Other names 1
- Quanton D Ware
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1972862985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12213 ANGELES WAY",
"city": "YUKON",
"state": "OK",
"postal_code": "730991706",
"telephone_number": "405-414-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8321 NE 33RD ST",
"city": "SPENCER",
"state": "OK",
"postal_code": "730843103",
"telephone_number": "405-414-5394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "PALLU",
"middle_name": "AD'INO",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-10",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "QUANTON",
"last_name": "WARE",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spencer, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.