DDSI SOUTH AEC LLC


Address: 4201 South Western, Ste. 4000, Oklahoma City, OK 73109-3410
Phone: 4056324000

DDSI SOUTH AEC LLC (NPI# 1043253263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043253263
Entity Type Organization
Organization Name DDSI SOUTH AEC LLC
Practice Address 4201 South Western
Ste. 4000
Oklahoma City
OK 73109-3410
Mailing Address Po Box 7316
Edmond
OK 73083-7316
Practice Telephone 4056324000
Practice Fax Number 4056324073
Mailing Telephone 4057676630
Mailing Fax Number 4057671176
Enumeration Date 2006-06-14
Last Update Date 2007-10-12
Authorized Official Name MR. BILL R. DAVIS (ADMINISTRATOR)
Authorized Official Telephone 4057676630
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
0075 OK Ambulatory Health Care Facilities

Office Location

Street Address 4201 SOUTH WESTERN
STE. 4000
City OKLAHOMA CITY
State OK
Zip Code 73109-3410

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063905354 Housecalls Family Medicine 4413 S Lee Ave, Oklahoma City, OK 73109 2018-06-11
1225559404 John Nathan Jacobsen Dentist 235 Sw 25th St., Oklahoma City, OK 73109 2017-06-28
1659828648 Cynthia Jane Laney Registered Nurse 4401 South Western, Oklahoma City, OK 73109 2016-09-07
1497104780 Hazel Soto Case Manager/Care Coordinator 420 Sw, St, Oklahoma, OK 73109 2016-06-07
1063873677 Ardeceley Brandi Annette Hernandez Community/Behavioral Health 5714 S. Western Ave, Oklahoma City, OK 73109 2016-03-09
1316343908 Van Ngo Nurse Practitioner 4413 South Lee Ave, Oklahoma City, OK 73109 2014-11-10
1104249150 Janessa Ladawn Bointy Counselor 5359 S. Western Ave. #707, Oklahoma City, OK 73109 2014-01-28
1033540299 Bryan Graham Case Manager/Care Coordinator 1111 Sw 28th St, Oklahoma City, OK 73109 2013-12-12
1154684603 Nubia Fiesel Counselor 420 Sw 10th Street, Oklahoma City, OK 73109 2012-06-20
1548533664 C.c. Freeman, Md. Inc Internal Medicine 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 2012-02-21
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023586252 Mercy Hospital Oklahoma City Outpatient Surgery LLC Clinic/Center 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 2018-11-06
1326335811 Laser Spine Surgery Center of Oklahoma, LLC Clinic/Center 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 2011-07-05
1326379967 Weir Asc, LLC Clinic/Center 9913 S May Avenue, Oklahoma City, OK 73159-7900 2010-01-21
1467659250 Joe Dan Metcalf Clinic/Center 12400 Saint Andrews Dr, Oklahoma City, OK 73120-8601 2007-06-27
1750597449 Oklahoma Lithotripter Associates, L.c. Clinic/Center 5401 N Portland Ave Ste 650, Oklahoma City, OK 73112-2081 2007-05-16
1083837926 Heritage Eye Surgery Center, LLC Clinic/Center 6922 S. Western, Suite 102, Oklahoma City, OK 73139-1890 2007-04-10
1487750238 Southwest Ambulatory Surgery Center, LLC Clinic/Center 8125 S. Walker Avenue, Oklahoma City, OK 73139-9476 2006-09-16
1093771909 Foundation Surgery Affiliate of Northwest Oklaho Clinic/Center 14000 N. Portland Avenue, Suite 100, Oklahoma City, OK 73134-4004 2006-04-21
1801856471 St Anthony North Ambulatory Surgical Center L L C Clinic/Center 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 2006-03-27
1306827464 Oklahoma Surgery and Urology Center Clinic/Center 5401 N Portland Ave, Suite 100, Oklahoma City, OK 73112-2082 2005-11-07
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Competitor

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City OKLAHOMA CITY
Zip Code 73109

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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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