KEITH JOHN KASSABIAN (NPI# 1083618003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083618003 |
| Entity Type | Individual |
| Full Name | KEITH JOHN KASSABIAN |
| Practice Address |
608 Nw 9th St Suite 2200 Oklahoma City OK 73102-1068 |
| Practice Telephone | 4052313737 |
| Practice Fax Number | 4052726144 |
| Mailing Telephone | 4052313737 |
| Mailing Fax Number | 4052726144 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
16576 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
16576 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
608 NW 9TH ST SUITE 2200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578725 | Olufolake Olufowote | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-28 |
| 1174152680 | Lan-uyen Trang Stephanie Nguyen | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2020-04-06 |
| 1548824345 | John Bradley Schoonover Jr. | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2019-04-26 |
| 1992292841 | Jessnie Jose | Student in an Organized Health Care Education/Training Program | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2018-04-17 |
| 1972036168 | Nathan Blake John | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2017-04-05 |
| 1346771250 | Robert Paul Antosh | Family Medicine | 608 Nw 9th St, Suite 1100, Oklahoma City, OK 73102-1068 | 2017-03-22 |
| 1811447899 | Saints Medical Group, LLC | Internal Medicine | 608 Nw 9th St, Suite 5000, Oklahoma City, OK 73102-1068 | 2016-10-13 |
| 1760834089 | Lisa Snider | Pharmacist | 608 Nw 9th St, Suite 3200, Oklahoma City, OK 73102-1068 | 2016-07-11 |
| 1548612922 | Roshini Ann Samuel | Family Medicine | 608 Nw 9th St, Suite 1000, Oklahoma City, OK 73102-1068 | 2016-07-08 |
| 1235588286 | Daniel K Ellis | Family Medicine | 608 Nw 9th St, Ste 1000, Oklahoma City, OK 73102 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479324 | Parkway H&v | Internal Medicine | 3200 Quail Springs Pkwy Ste 100, Oklahoma City, OK 73134-2698 | 2018-05-31 |
| 1003315946 | Cardiac Cin of Oklahoma City LLC | Internal Medicine | 10601 S Western Ave # 3, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1629118740 | Raghav Gupta | Internal Medicine | 5401 N Portland Ave Ste 380, Oklahoma City, OK 73112 | 2007-02-07 |
| 1801358981 | Cok Care of Ok, LLC | Internal Medicine | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
| 1053675157 | Amod Amritphale | Internal Medicine | 800 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2012-07-03 |
| 1578842910 | Zaid Alirhayim | Internal Medicine | 1100 N Lindsay Ave, Oklahoma City, OK 73104-5410 | 2011-08-16 |
| 1972822534 | Ohh Rural Clinics, LLC. | Internal Medicine | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2010-05-21 |
| 1083878342 | Bilal Saeed | Internal Medicine | 5224 E I 240 Service Rd Ste 201, Oklahoma City, OK 73135-2607 | 2008-07-16 |
| 1215127493 | Surya M Artham | Internal Medicine | 3433 Nw 56th St Ste 400, Oklahoma City, OK 73112-4430 | 2007-07-25 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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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.