South Okc Women'S Healthcare

Primary specialty

SpecialistTaxonomy code 174400000X

License

2310 Issued in OK

Legal business name

SOUTH OKC WOMEN'S HEALTHCARE

Practice address

1100 SW 89TH St
Oklahoma City, OK 73139-9104

Phone

(405) 632-7256

Fax

(405) 692-7673

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Deiter, DO

Title

Proprietor

Phone

(405) 632-7256

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1508085614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399104",
            "telephone_number": "405-632-7256",
            "fax_number": "405-692-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SW 89TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399104",
            "telephone_number": "405-632-7256",
            "fax_number": "405-692-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH OKC WOMEN'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DEITER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "405-632-7256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051330Q",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.