Active NPI
Houshang Seradge, MD
- Orthopaedic Hand Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1306841903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 12474
- Practice address
- 1044 SW 44TH St
Suite 518
Oklahoma City, OK 73109-3613 - Phone
- (405) 634-4263
- Fax
- (405) 634-4267
- NPI assigned
- Jun 20, 2005
- Last updated
- Jul 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 12474 | OK | Primary |
Addresses
Primary practice location
1044 SW 44TH St
Suite 518
Oklahoma City, OK 73109-3613
Mailing address
PO Box 26706
Section 4135
Oklahoma City, OK 73126-0706
Phone (405) 634-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990009843 | Other | OK | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12474 | OK | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Open MRI, LLC | Current | Accepting new patients | |
| C L Soo MD PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery of the Hand (Surgery) Physician
- Oklahoma City, OK
- NPI 1255765376
-
dba Midwest Open MRI
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Midwest City, OK
- NPI 1689611303
-
- Orthopaedic Surgery of the Spine Physician
- Oklahoma City, OK
- NPI 1588983100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1306841903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26706",
"address_2": "SECTION 4135",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260706",
"telephone_number": "405-634-4263",
"fax_number": "405-634-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 SW 44TH ST",
"address_2": "SUITE 518",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093613",
"telephone_number": "405-634-4263",
"fax_number": "405-634-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERADGE",
"first_name": "HOUSHANG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "OK",
"license": "12474",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "990009843",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.