Pediatric ENT of Oklahoma PLLC

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

Legal business name

PEDIATRIC ENT OF OKLAHOMA PLLC

Practice address

9900 Broadway Ext
Oklahoma City, OK 73114-6323

Phone

(405) 608-8833

Fax

(405) 608-8818

NPI assigned

Jan 16, 2017

Organization subpart

No

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

Authorized official

Name

German Paul Digoy, MD

Title

Authorized Official

Phone

(405) 608-8833

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Ashleigh Ahrberg, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1659650125
  NPD
• Rachel E Schwegal, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1477724656
  NPD
• Merry Mathew Thenmadathil, PA-C

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1548327653
  NPD

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1346786308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 S YALE AVE STE 100",
            "address_2": "LOCKBOX 52",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741373561",
            "telephone_number": "405-608-8833",
            "fax_number": "405-608-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146323",
            "telephone_number": "405-608-8833",
            "fax_number": "405-608-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENT OF OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DIGOY",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "405-608-8833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zane Pedersen, MD
• Lars Pederson
• Pediatric Anesthesia of Oklahoma, PLLC
• Pediatric Dental Partners PLLC
• Pediatric Dentistry of Oklahoma
• Pediatric Intensive Care Services Inc
• Pediatric Multispecialty Group PLLC
• Pediatric Neuropsychology Associates PLLC
• Pediatrix Medical Group of Oklahoma, P.C.
• Pedorthic Footcare of Oklahoma

• Pediatric Otolaryngology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Otolaryngology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.