QAISAR J QAYYUM MD, PC (NPI# 1710907613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710907613 |
| Entity Type | Organization |
| Organization Name | QAISAR J QAYYUM MD, PC |
| Practice Address |
13974 S Broadway Edmond OK 73034-8144 |
| Mailing Address |
Po Box 31195 Edmond OK 73003 |
| Practice Telephone | 4055628715 |
| Practice Fax Number | 4055628717 |
| Mailing Telephone | 4055628715 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | DR. QAISAR J QAYYUM (PRESIDENT) |
| Authorized Official Telephone | 4055628715 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
21912 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
13974 S BROADWAY |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025448 | Qaisar Qayyum | Internal Medicine | 13974 S Broadway, Edmond, OK 73034-8144 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1417983701 | Muhammad Firdaus | Internal Medicine | 14916 Salem Creek Rd, Edmond, OK 73013-2452 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856230 | Lori K Scott, Aprn-cnp, LLC | Internal Medicine | 12101 N Macarthur Blvd # 280, Oklahoma City, OK 73162-1800 | 2019-11-22 |
| 1730214362 | Empyreal Healthcare, LLC | Internal Medicine | 8826 S Hudson Ave, Tulsa, OK 74137-2943 | 2007-02-23 |
| 1568550051 | Chandini Sharma | Internal Medicine | 2025 E 71st St, Tulsa, OK 74136-5407 | 2006-10-10 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1447360698 | Laurence Z. Rubenstein | Internal Medicine | 1122 Ne 13th St Ste 150, Ou Senior Health Center, Oklahoma City, OK 73117-1039 | 2006-08-30 |
| 1073521332 | Kenneth John Kirk | Internal Medicine | 6506 E 89th Pl, Tulsa, OK 74133-5009 | 2006-08-03 |
| 1518900505 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Internal Medicine | 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 | 2006-06-14 |
| 1841286010 | Gerimed Inc | Internal Medicine | 518 Chautauqua Ave, Norman, OK 73069-5508 | 2005-09-23 |
| 1811391386 | Jm Medical, LLC | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105-4219 | 2014-10-13 |
| 1477965408 | Terad Talmesany | Internal Medicine | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2014-05-26 |
| Find all providers with the same taxonomy | ||||
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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.