Urology Affiliates of Oklahoma LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY AFFILIATES OF OKLAHOMA LLC

Practice address

5300 N Grand Blvd Ste 200
Oklahoma City, OK 73112-5517

Phone

(405) 942-8545

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon C Axton, MDNPI 1265596969

Title

MBR

Phone

(405) 942-8545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy W. Bankhead, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1477594513
  Medicare reassignment NPD
• Robert S Renouard, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1265492144
  Medicare reassignment NPD
• Jon C Axton, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1265596969
  Authorized official Same address or phone

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1306383849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N GRAND BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125517",
            "telephone_number": "405-942-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N GRAND BLVD STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125517",
            "telephone_number": "405-942-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY AFFILIATES OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "AXTON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "405-942-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Nicole Urda, APRN-CNP, PMHNP-C
• Agnes Rebekah Davide Ureta
• Urgent Care Travel, Inc
• Lakin Diane Urias, NP
• Urogynecology of Oklahoma PLLC
• Urology Associates, Inc.
• Urology Specialists of Central Oklahoma, LLC
• Urology Specialists of Central Oklahoma, LLC
• Urology Surgeons of Oklahoma PC
• Jaclyn C Urquiola Sorzano, D.O.

• Urology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.