| Dr Richard Charles De Vuyst Ii, MD | |
|
1200 Childrens Ave Ste 9a, Oklahoma City, OK 73104-4637 | |
| (405) 271-2234 | |
| (405) 271-2241 |
| Full Name | Dr Richard Charles De Vuyst Ii |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Pulmonology |
| Location | 1200 Childrens Ave Ste 9a, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073958534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3032 (Oklahoma) | Secondary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 30032 (Oklahoma) | Primary |
| 208000000X | Pediatrics | 01078897A (Indiana) | Secondary |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Charles De Vuyst Ii, MD 1200 Childrens Ave Ste 9a, Oklahoma City, OK 73104-4637 Ph: (405) 271-2234 | Dr Richard Charles De Vuyst Ii, MD 1200 Childrens Ave Ste 9a, Oklahoma City, OK 73104-4637 Ph: (405) 271-2234 |
Elizabeth Clare Kutteh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633 | |
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236 | |
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708 | |
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215 | |
Roa Muqbel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 405-271-4417 |