DIANA ANDERSON (NPI# 1740824630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740824630 |
| Entity Type | Individual |
| Full Name | DIANA ANDERSON |
| Other Name | DIANA WILEY |
| Credential | PA-C |
| Practice Address |
920 Stanton L Young Blvd Ste 2040 Oklahoma City OK 73104-5036 |
| Practice Telephone | 4052714113 |
| Mailing Telephone | 4052714113 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA3111 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720589047 | Diana Pardo Anderson | Licensed Vocational Nurse | 263 Cr 779, Devine, TX 78016 | 2018-02-22 |
| 1295280337 | Diana Lee Anderson | Counselor | 6815 W Capitol Dr Ste 112, Milwaukee, WI 53216-2056 | 2016-08-18 |
| 1982025912 | Diana Frances Anderson | Speech-Language Pathologist | 14 E 27th Ave, Spokane, WA 99203-2431 | 2013-12-17 |
| 1508123043 | Diana Celina Anderson | Student in an Organized Health Care Education/Training Program | 720 W 170th St Apt 6a, New York, NY 10032-2933 | 2012-04-23 |
| 1245831445 | Diana Anderson | Pharmacist | 1900 N Dewey Ave, Reedsburg, WI 53959-2214 | 2020-11-04 |
| 1700499910 | Diana T Anderson | Behavior Technician | 221 N Kansas St Ste 700, El Paso, TX 79901-1443 | 2020-08-26 |
| 1205460946 | Diana Anderson | Behavior Technician | 13322 I St, Omaha, NE 68137-1111 | 2020-03-02 |
| 1972074268 | Diana M Anderson | Speech-Language Pathologist | 110 Airport Rd, Westerly, RI 02891-3434 | 2018-12-11 |
| 1902358948 | Diana Marie Anderson | Physical Therapist | 1254 Se Century Dr, Lees Summit, MO 64081-3286 | 2016-10-25 |
| 1891151130 | Diana Anderson | Registered Nurse | 6822 E. 1000 S., Ft Duchesne, UT 84026 | 2015-12-31 |
| Street Address |
920 STANTON L YOUNG BLVD STE 2040 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740524719 | Fahd Sultan | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2012-11-15 |
| 1639792138 | Mohammed Fathi Mahomud Hussein | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2020-05-19 |
| 1760048037 | Claire Emmanuelle Delpirou Nouh | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2019-05-13 |
| 1225503170 | Brandi Nicole Allen | Nurse Practitioner | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2018-10-08 |
| 1790214443 | Venkataditya Dugyala | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2017-06-07 |
| 1609254382 | Sarah Rachel Durica | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
| 1972042141 | Nathan Carl Kadavy | Physician Assistant | 440 N Portland Ave, Suite 1000, Oklahoma City, OK 73107-6110 | 2017-02-21 |
| 1487191946 | Neilee Wood | Physician Assistant | 8121 Nw 119th St, Oklahoma City, OK 73162-1110 | 2017-01-23 |
| 1508316530 | Shayniel Stears | Physician Assistant | 16201 Gossamer Way, Oklahoma City, OK 73165-1503 | 2016-10-13 |
| 1386016566 | D'amber Nicole Chambers | Physician Assistant | 1918 Ne 23rd St, Oklahoma City, OK 73111-3328 | 2015-10-27 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1710380001 | Whitney Ward | Physician Assistant | 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 | 2014-10-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on DIANA ANDERSON.
| 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.