Southern Plains Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SOUTHERN PLAINS MEDICAL CENTER INC

Practice address

13709 S. Santa Fe Ave
Suite B
Oklahoma City, OK 73170

Phone

(405) 224-8111

NPI assigned

Feb 12, 2024

Organization subpart

Yes

Parent organization

SOUTHERN PLAINS MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Hareshkumar Boghara

Title

Owner

Phone

(405) 224-8111

Specialties & licenses 1

Addresses

Other names 1

• CareFirst Wellness Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Plains Medical Center Inc

  • Clinic/Center
  • Anadarko, OK
  • NPI 1255357745

  O20031106000698

  Same enrollment
• Southern Plains Medical Center Inc

  • Family Medicine Physician
  • Pauls Valley, OK
  • NPI 1477101715

  O20031106000698

  Same enrollment
• Southern Plains Medical Center Inc

  • Clinic/Center
  • Norman, OK
  • NPI 1881499655

  O20031106000698

  Same enrollment
• Southern Plains Medical Center Inc

  • Clinic/Center
  • Chickasha, OK
  • NPI 1962469098

  O20031106000698

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Southern Plains Med

Locations

Practitioners 2

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

• Krysten Ashley Mescan, APRN-FNP-BC

  • Family Nurse Practitioner
  • Norman, OK
  • NPI 1972257798
  NPD
• Raymond L Cornelison, MD

  • Dermatology Physician
  • Chickasha, OK
  • NPI 1003884339
  NPD (past)

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1194589978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W IOWA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182738",
            "telephone_number": "405-224-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13709 S. SANTA FE AVE",
            "address_2": "SUITE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73170",
            "telephone_number": "405-224-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PLAINS MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN PLAINS MEDICAL CENTER INC",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "HARESHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-224-8111"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareFirst Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareFirst Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Chase Southerland, D.D.S.
• Amy E Southerland, LMFT
• Megan Southerland
• Southern Oklahoma Treatment Services, Inc
• Southern Oklahoma Treatment Services, Inc.
• Southern Smiles Dental PC
• Southerncare, Inc
• Leroy Southmayd III, M.D.
• Southpointe Dental PLLC
• Southpointe Family Dentistry PLLC Dba Westmoore Family Dentistry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.