Ross Edwin Sethman, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

115 Issued in OK

Practice address

812 South Pine Street
Stillwater, OK 74074

Phone

(405) 624-1300

Fax

(405) 624-3084

NPI assigned

Nov 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 19, 2016 through May 19, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Oklahoma Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Stillwater, OK
  • NPI 1467627364
  NPD (past)
• Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC

  dba Coomsa Oral Surgery Tulsa

  • Oral and Maxillofacial Surgery Clinic/Center
  • Tulsa, OK
  • NPI 1902607476
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013096494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SOUTH PINE STREET",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-624-1300",
            "fax_number": "405-624-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SOUTH PINE STREET",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "74074",
            "telephone_number": "405-624-1300",
            "fax_number": "405-624-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHMAN",
        "first_name": "ROSS",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Ray Seefeldt, DPH
• Select Physical Therapy Holdings Inc (Select Physical Therapy)
• Shelby Grace Sequira
• Seretean Wellness Center
• Casey Elizabeth Sergott
• Kaylee Jo Setliff
• Melinda Setzer
• Brian Shaklee
• Darian Nicole Sharp
• Jeannie Ann Sharpton

• Oral and Maxillofacial Surgery (Dentist) in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.