DR. NARESH PEMMARAJU (NPI# 1952692907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952692907 |
Entity Type | Individual |
Full Name | DR. NARESH PEMMARAJU |
Credential | M.D. |
Practice Address |
1000 N Lee Ave Oklahoma City OK 73102-1036 |
Practice Telephone | 5016551169 |
Mailing Telephone | 5016551169 |
Enumeration Date | 2011-04-26 |
Last Update Date | 2019-06-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
32164 | OK | Allopathic & Osteopathic Physicians |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1000 N LEE AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73102-1036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083619902 | Kevin Jay Mckeown | Anesthesiology | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2005-06-16 |
1912516394 | Katelyn Ann Puryear | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-30 |
1518575406 | Julian Mahan Lowell | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-16 |
1730702895 | Michelle Mcnamara | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-05-24 |
1992345672 | Heather Dawn Smith-kenney | Dietitian, Registered | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-01-10 |
1265084693 | Laney T Combs | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-07-16 |
1396307328 | Physician Management Services of Oklahoma II, LLC | Family Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-06-29 |
1770140014 | Deepika Mohan | Pharmacist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-05-22 |
1477029452 | Donna Sue Drew | Registered Nurse | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-17 |
1497221626 | Mackenzie Borden | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
Find all providers in zip 73102 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
City | OKLAHOMA CITY |
Zip Code | 73102 |
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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.