Ddsi South Aec LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0075 Issued in OK

Legal business name

DDSI SOUTH AEC LLC

Practice address

4201 South Western
Ste. 4000
Oklahoma City, OK 73109-3410

Phone

(405) 632-4000

Fax

(405) 632-4073

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Diana J Mock

Title

Director

Phone

(405) 767-6630

Specialties & licenses 1

Addresses

Other names 1

• DDSI South AEC LLC Doing business as

Listed as

Digestive Disease Specialists Inc SouthCCN 37C0001054

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Stanley Stokesberry, M.D.

  • Gastroenterology Physician
  • Oklahoma City, OK
  • NPI 1427032234
  NPD
• Matthew McBride, MD

  • Gastroenterology Physician
  • Oklahoma City, OK
  • NPI 1871536920
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1043253263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SOUTH WESTERN",
            "address_2": "STE. 4000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093410",
            "telephone_number": "405-632-4000",
            "fax_number": "405-632-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDSI SOUTH AEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-767-6630"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDSI South AEC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Dylan Day
• Dayspring Community Services
• Dayton Royse Inc
• Dbjendo PLLC
• Dbsa Oklahoma
• Alberto J De Armendi, MD
• Mauricio Jose De Castro Pretelt, MD
• De Foundation Health Inc
• Casey Foster De Graaf, NP-C
• Emily R. De Hoog, MD

• Ambulatory Surgical Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.