HOUSHANG SERADGE


Address: 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613
Phone: 4056344263

HOUSHANG SERADGE (NPI# 1306841903) 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) 1306841903
Entity Type Individual
Full Name HOUSHANG SERADGE
Credential MD
Practice Address 1044 Sw 44th St
Suite 518
Oklahoma City
OK 73109-3613
Mailing Address Po Box 26706
Section 4135
Oklahoma City
OK 73126-0706
Practice Telephone 4056344263
Practice Fax Number 4056344267
Mailing Telephone 4056344263
Mailing Fax Number 4056344287
Enumeration Date 2005-06-20
Last Update Date 2014-07-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
12474 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK MEDICARE RAILROAD 990009843 01

Office Location

Street Address 1044 SW 44TH ST
SUITE 518
City OKLAHOMA CITY
State OK
Zip Code 73109-3613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801252952 Anesthesia Specialists of Oklahoma LLC Nurse Anesthetist, Certified Registered 1044 Sw 44th St, Oklahoma City, OK 73109-3613 2016-01-05
1255765376 Houshang Seradge Md PC Surgery 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 2013-08-26
1588983100 C L Soo Md PC Orthopaedic Surgery 1044 Sw 44th St, Suite 600, Oklahoma City, OK 73109-3613 2010-05-21
1154646651 Jeffrey Kristjan Prise Physical Therapist 1044 Sw 44th St, 300, Oklahoma City, OK 73109-3613 2010-03-29
1730349259 Daniel W Lee Md PC Internal Medicine 1044 Sw 44th St, Suite 410, Oklahoma City, OK 73109-3613 2008-06-10
1396911160 Pedro Gismondi Internal Medicine 1044 Sw 44th St, Suite 600, Oklahoma City, OK 73109-3613 2008-05-01
1770761819 Melea Wilson Occupational Therapist 1044 Sw 44th St, #300, Oklahoma City, OK 73109-3613 2008-01-31
1629105036 Evan W Luttrell Nurse Anesthetist, Certified Registered 1044 Sw 44th St, Suite 415, Oklahoma City, OK 73109-3613 2007-02-27
1700922317 Jims Tower Pharmacy Inc Pharmacy 1044 Sw 44th St, Ste 103, Oklahoma City, OK 73109-3613 2007-01-30
1740335827 Richard Drew Dds & J 'gus' Wilson Dds PC Dentist 1044 Sw 44th St, Suite 510, Oklahoma City, OK 73109-3613 2007-01-25
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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 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073679775 Oklahoma Hand Surgery Center, Inc. Orthopaedic Surgery 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 2006-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245256486 Broken Arrow Orthopedics Inc Orthopaedic Surgery 10507 E 91st St Ste 350, Tulsa, OK 74133-5598 2006-07-14
1730120155 Jean-louis Gabriel Orthopaedic Surgery 10507 E 91st St Ste 450, Tulsa, OK 74133-5515 2006-06-09
1558771618 Christopher Treat Orthopaedic Surgery 1809 E 13th St Ste 402, Tulsa, OK 74104-4431 2014-04-29
1568784957 Jessica Rey Childe Orthopaedic Surgery 4802 S 109th East Ave, Tulsa, OK 74146-5822 2010-02-25
1407002694 Paul A. Howard, M.d., P.C. Orthopaedic Surgery 6048 S Sheridan Rd, Tulsa, OK 74145-9212 2008-08-07
1245427558 St. John Physicians, Inc. Orthopaedic Surgery 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 2007-10-01
1649462375 William Earl Harrison Jr. Orthopaedic Surgery 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 2007-08-16
1255373122 Garrett Edward Watts Orthopaedic Surgery 10507 E 91st St, Ste 350, Tulsa, OK 74133-5598 2006-06-12
1336194406 St John Physicians Inc Orthopaedic Surgery 1923 S Utica Ave, Davis Tower 200, Tulsa, OK 74104-6520 2006-05-24
1003816265 James F Bischoff Orthopaedic Surgery 6475 S Yale Ave, Ste. 301, Tulsa, OK 74136-7816 2005-07-28
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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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