Central Oklahoma Ambulatory Surgical Center, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0016 Issued in OK

Legal business name

CENTRAL OKLAHOMA AMBULATORY SURGICAL CENTER, INC.

Practice address

3301 NW 63Rd St
Oklahoma City, OK 73116-3705

Phone

(405) 947-3330

Fax

(405) 947-3494

NPI assigned

Jul 28, 2006

Last updated

Mar 21, 2013By 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

Mr. David Eugene Korber, MDNPI 1720042088

Title

Owner/President

Phone

(405) 947-3330

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Listed as

Central Oklahoma Ambulatory Surgical Center IncCCN 37C0001004

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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.

• David Eugene Korber, M.D.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1720042088
  NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1467466383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163705",
            "telephone_number": "405-947-3330",
            "fax_number": "405-947-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NW 63RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163705",
            "telephone_number": "405-947-3330",
            "fax_number": "405-947-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OKLAHOMA AMBULATORY SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "KORBER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-947-3330",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "0016",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee R. Centracco, DDS
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• Central Diagnostics
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• Central Okc Anesthesia, PLLC
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic - Radiology Dept.)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic Laboratory)
• Central Oklahoma American Indian Health Council, Inc. (Oklahoma City Indian Clinic Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.