OKWA PEDS (NPI# 1922262047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922262047 |
| Entity Type | Organization |
| Organization Name | OKWA PEDS |
| Practice Address |
1211 N Shartel Ave Ste 606 Oklahoma City OK 73103-2400 |
| Practice Telephone | 4052359955 |
| Mailing Telephone | 4052359955 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | WAZIR S AHMAD (OWNER) |
| Authorized Official Telephone | 4052359955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12461 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100118340B | 05 |
| Street Address |
1211 N SHARTEL AVE STE 606 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133778 | Brenda Kris Mullins | Internal Medicine | 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 | 2005-06-13 |
| 1588175152 | Ascent Health Services LLC | Occupational Therapist | 1211 N Shartel Ave, Oklahoma City, OK 73103-2400 | 2017-10-23 |
| 1285082511 | Dennis E Sandler Md Pllc | Obstetrics & Gynecology | 1211 N Shartel Ave, 602, Oklahoma City, OK 73103-2400 | 2016-05-26 |
| 1487044954 | Ashley Marie Kellert | Marriage & Family Therapist | 1211 N Shartel Ave, Suite 603, Oklahoma City, OK 73103-2400 | 2015-02-04 |
| 1053735035 | Dr B Kris Mullins Md Pllc | Internal Medicine | 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 | 2014-02-11 |
| 1720421852 | Christopher Jack | Speech-Language Pathologist | 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103-2400 | 2013-04-08 |
| 1659613305 | Leroy Young | Preventive Medicine | 1211 N Shartel Ave, Stuite # 500, Oklahoma City, OK 73103-2400 | 2013-03-20 |
| 1013255462 | Chonita Kathleen Gardner | Specialist | 1211 N Shartel Ave, Suite 407, Oklahoma City, OK 73103-2400 | 2013-01-18 |
| 1366789836 | Francis Deason | Occupational Therapy Assistant | 1211 N Shartel Ave, Ste 200, Oklahoma City, OK 73103-2400 | 2013-01-03 |
| 1902141765 | Catalyst Health Clinic L.L.C. | Family Medicine | 1211 N Shartel Ave, Suite 208, Oklahoma City, OK 73103-2400 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019556 | Dorissenia Anntionette Peoples | Clinic/Center | 5817 Nw 90th St, Oklahoma City, OK 73132-2830 | 2020-06-29 |
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1497306153 | Careatc | Clinic/Center | 424 Colcord Dr Ste A, Oklahoma City, OK 73102-2500 | 2019-09-24 |
| 1114578887 | Careatc | Clinic/Center | 13500 S Tulsa Dr Ste 302, Oklahoma City, OK 73170-9725 | 2019-09-24 |
| 1144700477 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4200 Coletta Dr, Oklahoma City, OK 73120-8317 | 2018-08-16 |
| 1225518558 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 | 2018-08-16 |
| 1548788698 | Total Primary Care.pc | Clinic/Center | 6301 N Meridian Ave Ste 103, Oklahoma City, OK 73112-1267 | 2017-09-08 |
| 1639621246 | Careatc-okc Care | Clinic/Center | 424 Colcord Dr, Suite A, Oklahoma City, OK 73102-2215 | 2016-10-30 |
| 1609240423 | Today Clinic Pllc | Clinic/Center | 10201 N May Ave, Oklahoma City, OK 73120-2510 | 2015-11-17 |
| 1174995641 | Quad/med, LLC | Clinic/Center | 6801 S Sunnylane Rd, Oklahoma City, OK 73135-1712 | 2015-10-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
Please comment or provide details below to improve the information on OKWA PEDS.
| 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.