VINODH JEEVANANTHAM (NPI# 1174662308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174662308 |
| Entity Type | Individual |
| Full Name | VINODH JEEVANANTHAM |
| Credential | MD |
| Practice Address |
3400 S Douglas Blvd Suite 200 Oklahoma City OK 73150-1001 |
| Practice Telephone | 4057377000 |
| Practice Fax Number | 4052722898 |
| Mailing Telephone | 4057377000 |
| Mailing Fax Number | 4052722898 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
30512 | OK | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2007-01011 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1992885545 | 05 | |
| SC | Q0052M | 05 | |
| NC | MEDCOST | 199206 | 01 |
| NC | AETNA | 9164064 | 01 |
| NC | BCBS | 145HT | 01 |
| NC | 5906676 | 05 | |
| NC | PARTNERS | 810599 | 01 |
| OK | 200545090A | 05 | |
| WV | 3810009020 | 05 |
| Street Address |
3400 S DOUGLAS BLVD SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73150-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942281027 | Larry Todd Olsen | Orthopaedic Surgery | 3400 S Douglas Blvd, 302, Oklahoma City, OK 73150 | 2005-11-07 |
| 1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
| 1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
| 1255785929 | Kelli Lynn Schock | Nurse Practitioner | 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 | 2016-04-19 |
| 1003296492 | Nicole Cornish | Nurse Practitioner | 3400 S Douglas Blvd, Suite 305, Oklahoma City, OK 73150-1001 | 2015-06-01 |
| 1316354814 | Ssm Health Care of Oklahoma Inc | Pharmacy | 3400 S Douglas Blvd, Oklahoma City, OK 73150-1001 | 2014-07-16 |
| 1962761908 | Yefei Zhu | Internal Medicine | 3400 S Douglas Blvd, Suite 305, Oklahoma City, OK 73150-1001 | 2012-05-11 |
| 1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
| 1588894331 | Nesser Queja Ramirez | Family Medicine | 3400 S Douglas Blvd, Suite 200, Oklahoma City, OK 73150-1014 | 2009-07-14 |
| 1174758932 | Tima Suzanne Hamman | Family Medicine | 3400 S Douglas Blvd, Suite 200, Oklahoma City, OK 73150-1014 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
| 1437141793 | Paul L Preslar | Family Medicine | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150 | 2005-08-22 |
| 1235129099 | Richard D Hanes | Physician Assistant | 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | 2005-10-24 |
| 1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1649502550 | Karen A. Owen | Psychologist | 3001 S Douglas Blvd, Oklahoma City, OK 73150-1003 | 2010-02-02 |
| 1386188704 | Lisa Gagne | Registered Nurse | 3001 S Douglas Blvd, Building 1094, Oklahoma City, OK 73150-1003 | 2016-12-05 |
| 1154764850 | Tonya Rae Jury | Military Health Care Provider | 3001 S Douglas Blvd, Oklahoma City, OK 73150-1003 | 2013-04-11 |
| 1194060665 | Jeree C Frost | Counselor | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150-1017 | 2012-12-10 |
| Find all providers in zip 73150 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790148 | Epic Heart Health | Internal Medicine | 1211 N Shartel Ave Ste 1005, Oklahoma City, OK 73103-2433 | 2020-08-11 |
| 1316469109 | Razan Ali Mohamed Elsayed | Internal Medicine | 800 Stanton L Young Blvd # 5481, Oklahoma City, OK 73104-5018 | 2017-07-12 |
| 1225201718 | Christian Cardiovascular Institute PC | Internal Medicine | 3300 Nw 56th Street, Suite 200, Oklahoma City, OK 73112-4401 | 2008-04-07 |
| 1780887398 | Shafeek Sandy Sanbar | Internal Medicine | 8100 Glenwood Ave, Oklahoma City, OK 73114-1108 | 2007-06-09 |
| 1770623068 | Faisal Latif | Internal Medicine | 825 Ne 10th St Ste 2500, Oklahoma City, OK 73104-5417 | 2007-02-07 |
| 1174558597 | Iftikhar Ahmad | Internal Medicine | 608 Nw 9th Street, Suite 2200, Oklahoma City, OK 73102 | 2006-07-12 |
| 1033176524 | Terrance Khastgir | Internal Medicine | 3433 Nw 56th St Ste 660, Oklahoma City, OK 73112-4449 | 2006-04-27 |
| 1568453835 | Dwayne A Schmidt | Internal Medicine | 3200 Quail Springs Parkway, Ste. 200, Oklahoma City, OK 73134 | 2005-11-04 |
| 1952399024 | Sandeep Chopra | Internal Medicine | 4120 N Classen Blvd, Suite 100, Oklahoma City, OK 73118-2422 | 2005-10-12 |
| 1932196839 | Gregory B Vanzant | Internal Medicine | 4200 W Memorial Rd Ste 410, Oklahoma City, OK 73120-8305 | 2005-10-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73150 |
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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.