KEIVAN ABTAHI (NPI# 1295000560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295000560 |
Entity Type | Individual |
Full Name | KEIVAN ABTAHI |
Credential | D.O. |
Practice Address |
3433 Nw 56th St Ste 950 Oklahoma City OK 73112 |
Mailing Address |
5300 N Independence Ave Ste 280 Oklahoma City OK 73112-5555 |
Practice Telephone | 4057139940 |
Practice Fax Number | 4057139941 |
Mailing Telephone | 4057139940 |
Mailing Fax Number | 4057139941 |
Enumeration Date | 2012-03-19 |
Last Update Date | 2018-07-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 5343 | OK | Allopathic & Osteopathic Physicians |
Street Address |
3433 NW 56TH ST STE 950 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699237073 | Samantha Elizabeth Tidwell | Physician Assistant | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112-4453 | 2019-04-03 |
1982195673 | Meredith Leigh Dunn | Physician Assistant | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112 | 2018-05-29 |
1083127823 | Micah Steven Metheny | Physician Assistant | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112-4453 | 2017-11-15 |
1568806479 | David B. Parker | Orthopaedic Surgery | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112-4453 | 2013-04-22 |
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 | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
1558623934 | Brian Alan Chenoweth | Orthopaedic Surgery | 825 Ne 10th St # 1c, Oklahoma City, OK 73104-5417 | 2012-06-12 |
1639455975 | Ralph Edward Payne Jr. | Orthopaedic Surgery | 12604 Maple Ridge Rd., Oklahoma City, OK 73120 | 2011-11-01 |
1972807667 | Ghazi M. Rayan, Md, Inc. | Orthopaedic Surgery | 3366 Nw Expressway Ste 700, Oklahoma City, OK 73112-4439 | 2011-01-10 |
1225292444 | Ryan Lee Nelson | Orthopaedic Surgery | 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 | 2008-07-16 |
1205096369 | Kevin T Grosshans | Orthopaedic Surgery | 920 Stanton L Young Blvd # 1380, Oklahoma City, OK 73104-5020 | 2008-06-12 |
1104022417 | Matthew M Diesselhorst | Orthopaedic Surgery | 10914 Hefner Pointe Dr Ste 200, Oklahoma City, OK 73120-5069 | 2007-06-23 |
Find all providers in OKLAHOMA CITY |
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.