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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0075 | OK | Ambulatory Health Care Facilities |
Street Address |
4201 SOUTH WESTERN STE. 4000 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73109-3410 |
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 |
Find all providers in zip 73109 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73109 |
Please comment or provide details below to improve the information on DDSI SOUTH AEC LLC.
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.