Dr. Faysal Loutfallah Nasr
Family Medicine

Address: 4200 W Memorial Rd, Suite 401, Oklahoma City, OK 73120-9350
Phone: 4057557676

Dr. Faysal Loutfallah Nasr (NPI# 1336253863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1336253863
Entity Type Individual
Full Name Dr. Faysal Loutfallah Nasr
Credential M.D.
Gender Male
Practice Address 4200 W Memorial Rd
Suite 401
Oklahoma City
OK 73120-9350
Practice Telephone 4057557676
Mailing Address 4200 W Memorial Rd
Suite 401
Oklahoma City
OK 73120-9350
Mailing Telephone 4057557676
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-08-19
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 11878 OK

Physician Overview

NPI 1336253863
PAC ID by PECOS 7618135658
Professional Enrollment ID I20120222000890
Full Name Faysal L Nasr
Phone Number 4057557676
Gender M
Graduation Year 1971
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370093 OU MEDICAL CENTER

Office Location

Street Address 4200 W MEMORIAL RD
SUITE 401
City OKLAHOMA CITY
State OK
Zip Code 73120-9350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780688150 Avani Sheth Anesthesiology 4200 W Memorial Rd, Ste 305, Oklahoma City, OK 73120-9350 2005-06-13
1356788954 Oklahoma Otolaryngology Hearing Center Inc Audiologist 4200 W Memorial Rd, Suite 608, Oklahoma City, OK 73120-9350 2013-05-23
1609131077 Biji Sakariah Nurse Practitioner 4200 W Memorial Rd, Suite 410, Oklahoma City, OK 73120-9350 2012-07-11
1528343159 Allergy, Asthma & Clinical Research Center Allergy & Immunology 4200 W Memorial Rd, Suite 206, Oklahoma City, OK 73120-9350 2011-10-14
1043506751 Brooke Storer Obstetrics & Gynecology 4200 W Memorial Rd, Suite 201, Oklahoma City, OK 73120-9350 2011-06-21
1508157231 Jennifer Lynn Rankin Counselor 4200 W Memorial Rd, 503, Oklahoma City, OK 73120-9350 2011-04-28
1740517150 Julie Thompson, M.d., P.C. Anesthesiology 4200 W Memorial Rd, Suite 703, Oklahoma City, OK 73120-9350 2009-11-05
1770819468 Bennett Fuller, M.d., P.C. Anesthesiology 4200 W Memorial Rd, Suite 703, Oklahoma City, OK 73120-9350 2009-10-30
1699001396 Michael Mcginnis Anesthesiology 4200 W Memorial Rd, Suite 703, Oklahoma City, OK 73120-9350 2009-10-30
1609102300 William Hawk, M.d., P.C. Anesthesiology 4200 W Memorial Rd, Suite 703, Oklahoma City, OK 73120-9350 2009-10-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396218152 Summer Smith Therapy Social Worker 11209 N May Ave Ste B, Oklahoma City, OK 73120 2019-01-04
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1013459239 Hefner Chiropractic Pllc Chiropractor 2236 W Hefner Rd, Suite 200, Oklahoma City, OK 73120 2016-11-07
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871068239 Today Clinic South Okc LLC Family Medicine 1317 Se 44th St Ste I, Oklahoma City, OK 73129-6907 2018-10-11
1083189724 Mi Clinica LLC Family Medicine 4200 S May Ave Ste D, Oklahoma City, OK 73119-3200 2018-10-09
1790267169 Saint Medical Group, LLC Family Medicine 13401 N Western Ave Ste 100, Oklahoma City, OK 73114-1409 2018-09-03
1366950743 Bucy Annie Rajan Thomas Family Medicine 3366 Nw Expwy Ste 330, Oklahoma City, OK 73112-4432 2018-01-19
1003347048 Alyssa Penick Family Medicine 608 Nw 9th St Ste 1100, Oklahoma City, OK 73102-1015 2017-03-22
1164977484 Doctors @ Home, Inc Family Medicine 4501 Nw 36th St, Oklahoma City, OK 73122-2404 2016-08-16
1730565912 My Family Clinic LLC Family Medicine 3717 S Western Ave, Oklahoma City, OK 73109-3401 2015-08-10
1316327570 Louise Vo Family Medicine 5915 W Memorial Rd Ste 300, Oklahoma City, OK 73142 2015-06-03
1073901427 Physician's Mobile Health Services Family Medicine 5009 N Pennsylvania Ave Ste 111, Oklahoma City, OK 73112-8888 2015-01-07
1336554492 Mary Ann Joseph Family Medicine 3330 Nw 56th St Ste 220, Oklahoma City, OK 73112-4426 2014-06-27
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Competitor

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City OKLAHOMA CITY
Zip Code 73120

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Dataset Information

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.

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