DR. SIAVASH NAEL (NPI# 1902809353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902809353 |
| Entity Type | Individual |
| Full Name | DR. SIAVASH NAEL |
| Credential | M.D. |
| Practice Address |
4720 S Western Ave Oklahoma City OK 73109 |
| Mailing Address |
4720 S Western Ave Oklahoma City OK 73109-3834 |
| Practice Telephone | 4056345529 |
| Practice Fax Number | 4056361673 |
| Mailing Telephone | 4056345529 |
| Mailing Fax Number | 4056361673 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
12064 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100038930A | 05 | |
| OK | TAX ID UNDER GROUP | 731186241 | 01 |
| Street Address |
4720 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295955318 | Siavash Nael Md Inc | Psychiatry & Neurology | 4720 S Western Ave, Oklahoma City, OK 73109-3834 | 2007-04-30 |
| 1811943426 | Tammy Ressler | Nurse Practitioner | 4720 S Western Ave, Oklahoma City, OK 73109-3834 | 2006-05-25 |
| 1669471181 | Mary Allen Carey | Clinical Nurse Specialist | 4720 S Western Ave, Oklahoma City, OK 73109-3834 | 2005-07-18 |
| 1962401653 | Mary Anne Secrist | Clinical Nurse Specialist | 4720 S Western Ave, Oklahoma City, OK 73109-3834 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.