DR. JOHN C. ANDRUS (NPI# 1124052089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124052089 |
Entity Type | Individual |
Full Name | DR. JOHN C. ANDRUS |
Credential | MD |
Practice Address |
5100 N Brookline Ave 950 Oklahoma City OK 73112-3623 |
Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
Practice Telephone | 4057179840 |
Practice Fax Number | 4059424790 |
Mailing Telephone | 4057179840 |
Mailing Fax Number | 4059424790 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2017-07-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
12771 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100124020A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972645950 | John P Andrus | Chiropractor | 8950 Villa La Jolla Dr, C115, La Jolla, CA 92037-1714 | 2007-02-13 |
1205813284 | John R Andrus | Preventive Medicine | 690 Barnes Blvd, Mcchord Afb, WA 98438-1303 | 2005-12-29 |
Street Address |
5100 N BROOKLINE AVE 950 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-3623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336145887 | James Murray Flynn | Podiatrist | 5100 N Brookline Ave, Ste 375, Oklahoma City, OK 73112-3628 | 2005-06-21 |
1215563697 | Susan Elise Rada | Behavioral Analyst | 5100 N Brookline Ave, Oklahoma City, OK 73112-3623 | 2020-03-18 |
1982964920 | David Michael Croninger | Counselor | 5100 N Brookline Ave, Suite 620, Oklahoma City, OK 73112-3623 | 2012-05-24 |
1780963330 | Integris Baptist Medical Center Inc | Psychiatry & Neurology | 5100 N Brookline Ave, Ste 950, Oklahoma City, OK 73112-3623 | 2011-08-15 |
1831480508 | Timothy L Barnard | Counselor | 5100 N Brookline Ave, Suite 950, Oklahoma City, OK 73112-3623 | 2011-04-28 |
1487967717 | Geetika Mehrishi Verma | Psychiatry & Neurology | 5100 N Brookline Ave, Suite 900, Oklahoma City, OK 73112-3623 | 2010-07-15 |
1376785238 | Sleep Solutions Northwest, LLC | Clinic/Center | 5100 N Brookline Ave, Ste. 325, Oklahoma City, OK 73112-3623 | 2009-03-24 |
1083874754 | Shawn Smith, M.d., P.C. | Physical Medicine & Rehabilitation | 5100 N Brookline Ave, Suite 500, Oklahoma City, OK 73112-3623 | 2008-06-16 |
1114184629 | Stephen L Virtue Dds | Dentist | 5100 N Brookline Ave, #870, Oklahoma City, OK 73112-3623 | 2008-05-21 |
1477722809 | Tracy Langford | Psychiatry & Neurology | 5100 N Brookline Ave, Suite 950, Oklahoma City, OK 73112-3623 | 2008-02-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265514715 | Donna Fenton Gibson | Psychiatry & Neurology | 2501 Cummings Dr, Oklahoma City, OK 73107-2108 | 2006-10-20 |
1851611602 | Audra Michelle Yadack | Psychiatry & Neurology | 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 | 2010-06-03 |
1639343650 | Psychiatric Health Corporation | Psychiatry & Neurology | 10101 S Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6929 | 2008-04-22 |
1730260084 | Charles J Alexis | Psychiatry & Neurology | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003209057 | Psydoc LLC | Psychiatry & Neurology | 309 N Redbud Ave, Broken Arrow, OK 74012-2376 | 2015-03-16 |
1255591392 | Gs Medical Consultants Inc | Psychiatry & Neurology | 2805 S Bryant Ave, Suite A, Edmond, OK 73013-6159 | 2008-06-12 |
1114011764 | Kirsten Matthews Wilkins | Psychiatry & Neurology | 4502 E 41st St, Dept of Psychiatry, Tulsa, OK 74135-9923 | 2006-10-03 |
1518903764 | Ernest George Shadid | Psychiatry & Neurology | 3280 Marshall Ave, Norman, OK 73072-8028 | 2006-06-22 |
1134199250 | Jimmie D Mcadams Jr. | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-01-23 |
1629052808 | Patricia A. Costner | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2005-12-01 |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.