Audra M Yadack (NPI# 1851611602, PAC ID# 6800177999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1851611602 |
| PAC ID by PECOS | 6800177999 |
| Professional Enrollment ID | I20170104000455 |
| Full Name | Audra M Yadack |
| Organization Legal Name | SHANTHARAM DARBE MD PC |
| Address |
4601 N Classen Blvd Oklahoma City OK 73118-4815 |
| Phone Number | 4058409999 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | GERIATRIC PSYCHIATRY |
| Group Practice PAC ID | 3274515416 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370094 | ALLIANCEHEALTH MIDWEST |
| 370037 | ST ANTHONY HOSPITAL |
| 370032 | ALLIANCEHEALTH DEACONESS |
| Address | Phone | Organization |
|---|---|---|
| 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 | 4058409999 | SHANTHARAM DARBE MD PC |
| 9212 N Kelley Ave, Oklahoma City, OK 73131-2419 | 4052425070 | ADVANCED THERAPY ASSOCIATES LLC |
| Organization Legal Name | SHANTHARAM DARBE MD PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshma R Gunda | Psychiatry | Shantharam Darbe Md PC | 2525 Nw Expressway, 312 Fidelity Mental Health Services, Oklahoma City, OK 73112-7200 |
| Shreekuma S Vinekar | Psychiatry | Shantharam Darbe Md PC | 2525 Nw Expressway, 312 Fidelity Mental Health Services, Oklahoma City, OK 73112-7200 |
| Shantharam Darbe | Psychiatry | Shantharam Darbe Md PC | 2525 Nw Expressway, 312 Fidelity Mental Health Services, Oklahoma City, OK 73112-7200 |
| Ernest E Beckham | Psychologist, Clinical | Shantharam Darbe Md PC | 2525 Nw Expressway, 312 Fidelity Mental Health Services, Oklahoma City, OK 73112-7200 |
| Dennis B Ferguson | Psychologist, Clinical | Shantharam Darbe Md PC | 2525 Nw Expressway, 312 Fidelity Mental Health Services, Oklahoma City, OK 73112-7200 |
| Cynthia G Barnard | Clinical Social Worker | Shantharam Darbe Md PC | 2525 Nw Expressway, 312 Fidelity Mental Health Services, Oklahoma City, OK 73112-7200 |
| Street Address |
4601 N CLASSEN BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73118-4815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joann D Haberman | Diagnostic Radiology | Breast Cancer Screening Center of Oklahoma PC | 6307 Waterford Blvd, Oklahoma City, OK 73118-1117 |
| Cody T Elledge | Chiropractic | 5715 N Western Ave, Suite B, Oklahoma City, OK 73118-1239 | |
| Anita Dawn Le | Optometry | 1901 Nw Expwy St, Suite 1082, Oklahoma City, OK 73118-1607 | |
| Warren K Russell | Psychologist, Clinical | 1900 Nw Expressway, Suite 507, Oklahoma City, OK 73118-1804 | |
| Stephen J Miller | Psychologist, Clinical | 1900 N W Expressway, Suite 900, Oklahoma City, OK 73118-1821 | |
| Cynthia M Kampschaefer | Clinical Psychologist | G Michael and Cynthia M Kampschaefer PC | 1900 Nw Expwy St, Suite 900, Oklahoma City, OK 73118-1821 |
| Erika T Miller | Clinical Social Worker | 1900 Nw Expressway, Suite 900, Oklahoma City, OK 73118-1821 | |
| George M Kampschaefer | Clinical Psychologist | G Michael and Cynthia M Kampschaefer PC | 1900 Nw Expwy St, Suite 900, Oklahoma City, OK 73118-1821 |
| Ebonie Chanell Pankey | Nurse Practitioner | Linden and Associates PC | 4900 Richmond Sq, Suite 102, Oklahoma City, OK 73118-2042 |
| Merria N Dalimonte | Physician Assistant | Linden and Associates PC | 4900 Richmond Sq, Suite 102, Oklahoma City, OK 73118-2042 |
| Find all physicians in zip 73118 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
| Specialty | PSYCHIATRY |
| City + Specialty | OKLAHOMA CITY + PSYCHIATRY |
Please comment or provide details below to improve the information on Audra M Yadack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.