DR. GAYATHRI DASHARATHY (NPI# 1801966338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801966338 |
Entity Type | Individual |
Full Name | DR. GAYATHRI DASHARATHY |
Credential | M.D. |
Practice Address |
3300 Nw Expressway Oklahoma City OK 73112-4418 |
Mailing Address |
2805 S Bryant Ave Suite A Edmond OK 73013-6161 |
Practice Telephone | 4059493349 |
Mailing Telephone | (405) 340-0766 |
Mailing Fax Number | 4058443600 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2017-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
15716 | OK | Allopathic & Osteopathic Physicians |
N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
15716 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100132130A | 05 |
Street Address |
3300 NW EXPRESSWAY |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-4418 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578567848 | Gregory W Dinwiddie | Physician Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2005-06-02 |
1760083554 | Cristin Michelle Fong | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-11-06 |
1578160487 | Jennifer Bauman | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-10-04 |
1013525062 | Siera Alexis Freeman | Physical Therapist | 3300 Nw Expressway, Oklahoma City, OK 73112 | 2020-07-15 |
1447878152 | Sabrina Smith | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-07-09 |
1881219756 | Paul Rakowski | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-06-16 |
1902429707 | Alex D Dumontier | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-05-27 |
1417577305 | Oklahoma Emergency Physicians LLC | Emergency Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
1871113761 | Oklahoma Hospital Medicine Physicians LLC | Internal Medicine | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-21 |
1043839459 | Taylor Egbert | Student in an Organized Health Care Education/Training Program | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-04-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316124605 | Jorg Johannes Pahl | Psychiatry & Neurology | 3909 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2650 | 2008-01-29 |
1528168721 | Gita - Pujari II | Psychiatry & Neurology | 921 Ne 13th St, 116c, Oklahoma City, OK 73104-5007 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497223846 | Mind and Body Medical Clinic | Psychiatry & Neurology | 2216 Nw 164th St Ste A, Edmond, OK 73013-9078 | 2018-11-04 |
1306134929 | Kimberlee Van Wilson | Psychiatry & Neurology | 4851 Integris Parkway, Edmond, OK 73034 | 2011-07-17 |
1164070314 | Lowell James Robertson | Psychiatry & Neurology | 1111 W 17th St, Tulsa, OK 74107-1886 | 2019-08-30 |
1588229033 | State of Oklahoma Osu Center for Health Sciences | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2019-05-09 |
1437683729 | F Clark Sauls, Md | Psychiatry & Neurology | 723 W Randolph Ave, Suite 6, Enid, OK 73701-3826 | 2017-04-13 |
1184981144 | Dustin O'leath Hayes | Psychiatry & Neurology | 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 | 2012-04-16 |
1942488986 | Jane Phillips Specialty Physicians | Psychiatry & Neurology | 226 Se Debell Ave, Bldg B, Bartlesville, OK 74006-2343 | 2008-02-01 |
1467659953 | Samuel Gene Martin | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2007-06-28 |
1831281070 | Nicasio S Gutierrez Jr. | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2006-09-28 |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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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.