DR. JESSE P PANDIAN


Address: 4401 S Western Ave, Oklahoma City, OK 73109-3413
Phone: 4056367000

DR. JESSE P PANDIAN (NPI# 1174145767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174145767
Entity Type Individual
Full Name DR. JESSE P PANDIAN
Credential DO
Practice Address 4401 S Western Ave
Oklahoma City
OK 73109-3413
Mailing Address 8736 Yassir Blvd
Yukon
OK 73099-3584
Practice Telephone 4056367000
Mailing Telephone 9183981950
Enumeration Date 2020-05-18
Last Update Date 2020-05-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program OK Student, Health Care

Office Location

Street Address 4401 S WESTERN AVE
City OKLAHOMA CITY
State OK
Zip Code 73109-3413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922091511 Ralph Oscar Shadid Internal Medicine 4401 S Western Ave, Oklahoma City, OK 73109-3413 2005-08-29
1255939245 Osu Center for Health Scienses Clinic/Center 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-10-13
1740898030 Ashley Nicole Newberry Occupational Therapist 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-07-22
1306461512 Alicia Ablola Chaparro Registered Nurse 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-06-12
1700408309 Nina G Stevens Student in an Organized Health Care Education/Training Program 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-05-18
1578185435 Robert William Soult Student in an Organized Health Care Education/Training Program 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-05-14
1669094579 Tyler L Woolum Student in an Organized Health Care Education/Training Program 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-05-13
1588286546 Landon Riesenberg Student in an Organized Health Care Education/Training Program 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-05-13
1225650138 Shelby Tripod Student in an Organized Health Care Education/Training Program 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-05-13
1013539931 Aaron Daniel Jones Student in an Organized Health Care Education/Training Program 4401 S Western Ave, Oklahoma City, OK 73109-3413 2020-05-13
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366043044 Marielle Crowell Student in an Organized Health Care Education/Training Program 700 Nw 51st St, Oklahoma City, OK 73118-6216 2020-11-08
1952902736 Brandon Talaro Schmidt Student in an Organized Health Care Education/Training Program 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 2020-11-06
1710588694 Hayden Mackenzie Bryan Student in an Organized Health Care Education/Training Program 1425 Nw 29th St, Oklahoma City, OK 73106-3433 2020-11-05
1548861560 Cruz Mccarty Student in an Organized Health Care Education/Training Program 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 2020-11-05
1063013530 Thomas Labarthe Student in an Organized Health Care Education/Training Program 2833 Nw 67th St, Oklahoma City, OK 73116-4612 2020-11-02
1942808555 Lindsay Guthrie Student in an Organized Health Care Education/Training Program 8405 Nw 142nd St, Oklahoma City, OK 73142-7005 2020-10-15
1487251393 Bradley Austin Heldmann Student in an Organized Health Care Education/Training Program 500 Central Park Dr Apt 805, Oklahoma City, OK 73105-1734 2020-10-04
1427665157 Bennett Graham Oden Student in an Organized Health Care Education/Training Program 2912 Cummings Dr, Oklahoma City, OK 73107-2117 2020-09-27
1023624228 Erik Willis Student in an Organized Health Care Education/Training Program 200 Ne 14th St Apt C6, Oklahoma City, OK 73104-1236 2020-09-22
1730795253 Darrell Lynn Nowlin Student in an Organized Health Care Education/Training Program 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 2020-09-21
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73109

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Dataset Information

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.

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