UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA NPI 1356612063

NPI Information

  • NPI: 1356612063
  • Provider Name: UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 37D0470843
  • Address: 5401 N. PORTLAND AVE. SUITE 440
    OKLAHOMA CITY, OK
    ZIP 73112
  • Phone: (405) 943-1137

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NPI Details

UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA is an urology in Oklahoma City, OK. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY SPECIALISTS OF CENTRAL OKLAHOMA NPI is 1356612063. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5401 N. PORTLAND AVE. SUITE 440
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 943-1137
Fax: (405) 947-0731

The provider's authorized official is En Shea Samara .
The authorized official title is Managing Partner and has the following contact phone number (405) 943-1137.

The CLIA number assigned to this NPI record is 37D0470843 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/26/2012 and was last updated on 11/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyOKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200438780AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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