Active NPI
Nathalie Victoria Andry, MD
- Neuroradiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- 45840
- Practice address
- 4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201 - Phone
- (189) 353-5509
- NPI assigned
- Apr 24, 2010
- Last updated
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 35672 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | A112796 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 60250642 | NY | |
| Neuroradiology Physician | 2085N0700X | 45840 | AZ | Primary |
Addresses
Primary practice location
4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Mailing address
4500 S Garnett Rd Ste 112
Tulsa, OK 74146-5201
Phone (189) 353-5509
Other names 1
- Nathalie Victoria Gebara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arizona College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658 | AZ | MD | Dentist |
| 45840 | AZ | MD | Neuroradiology Physician |
| A112796 | CA | MD | Diagnostic Radiology Physician |
| 60250642 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Indian Health Center | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Pawnee Indian Health Center | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Wewoka Indian Health | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Anadarko Indian Health Center | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Pawnee IHS Pharmacy | Past | Accepting new patients | |
| Comanche County Hospital Authority Southwest Radiology | Diagnostic Radiology | Past | Accepting new patients |
| SLR Diagnostic Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| East Manhattan Diagnostic Imaging, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Mdig of Washington PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
9898 Genesee Ave
La Jolla, CA 92037
Phone (858) 824-5222
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
201 E Parker McKenzie Dr
Anadarko, OK 73005
Phone (405) 247-7900
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8400
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282
Interoperability endpoints
- nandry216110@direct.valleywisehealth.org
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba Choctaw Nation Health Clinic-Idabel
- Primary Care Clinic/Center
- Idabel, OK
- NPI 1407822497
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCSD Medical Center
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1992022305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD STE 112",
"city": "TULSA",
"state": "OK",
"postal_code": "741465201",
"telephone_number": "189-353-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD STE 112",
"city": "TULSA",
"state": "OK",
"postal_code": "741465201",
"telephone_number": "189-353-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRY",
"first_name": "NATHALIE",
"middle_name": "VICTORIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-24",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OK",
"license": "35672",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A112796",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "60250642",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "AZ",
"license": "45840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATHALIE",
"last_name": "GEBARA",
"middle_name": "VICTORIA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.