SOUTHSIDE UROLOGY CLINIC, P.C. (NPI# 1952778177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952778177 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE UROLOGY CLINIC, P.C. |
| Practice Address |
9817 S Western Ave Oklahoma City OK 73139-2812 |
| Practice Telephone | 4056324500 |
| Practice Fax Number | 4056327500 |
| Mailing Telephone | 4056324500 |
| Mailing Fax Number | 4056327500 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | RAJENDRA K MOTWANI (OWNER) |
| Authorized Official Telephone | 4056324500 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
3478 | OK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629247341 | Southside Urology Clinic, P.C. | Clinic/Center | 9817 S Western Ave, Oklahoma City, OK 73139-2812 | 2008-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SOUTHSIDE UROLOGY CLINIC, P.C. | 817 S W 89th St Ste B, Okla City, OK 73109 |
| Street Address |
9817 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013950740 | Rajendra K. Motwani | Urology | 9817 S Western Ave, Oklahoma City, OK 73139-2812 | 2006-06-13 |
| 1629247341 | Southside Urology Clinic, P.C. | Clinic/Center | 9817 S Western Ave, Oklahoma City, OK 73139-2812 | 2008-02-27 |
| 1134308968 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 9817 S Western Ave, Oklahoma City, OK 73139-2812 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271793 | Healthy Skin Dermatology of Oklahoma Pllc | Clinic/Center | 13933 Technology Dr Ste B, Oklahoma City, OK 73134-1053 | 2019-08-20 |
| 1053862102 | Okc Neurology-catherine E Porter Md, Pllc | Clinic/Center | 6701 W Hefner Rd Ste B, Oklahoma City, OK 73162-4706 | 2016-10-24 |
| 1922350719 | Allergy Arts of Oklahoma Pllc | Clinic/Center | 3300 Nw 56th St Ste 100, Oklahoma City, OK 73112-4538 | 2012-10-04 |
| 1669667689 | Richard B. Dawson, M.d. and Associates, Inc. | Clinic/Center | 8315 S Walker Ave, Oklahoma City, OK 73139-9449 | 2007-09-12 |
| 1700912615 | Piedmont Therapy Institute | Clinic/Center | 2240 N Classen Blvd, Ste A, Oklahoma City, OK 73106-5811 | 2007-02-26 |
| 1871651315 | Osu Center for Health Sciences | Clinic/Center | 1044 S W 44th Street Suite 410, Oklahoma City, OK 73109 | 2006-12-05 |
| 1801969647 | Osu Center for Health Sciences | Clinic/Center | 608 Nw 9th St Ste 6110, Oklahoma City, OK 73102-1006 | 2006-11-17 |
| 1497743181 | North Side Internal Medicine Pllc | Clinic/Center | 6957 Nw Expressway, Suite #301, Oklahoma City, OK 73132-3533 | 2005-10-07 |
| 1609258615 | Jvc Medical, Inc. | Clinic/Center | 2825 Parklawn Dr, Oklahoma City, OK 73110-4201 | 2015-06-25 |
| 1972882074 | Osu Center for Health Sciences | Clinic/Center | 608 Nw 9th St, Suite 3000, Oklahoma City, OK 73102-1068 | 2011-08-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on SOUTHSIDE UROLOGY CLINIC, P.C..
| 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.