Southeastern Medical Services LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

16862 Issued in OK

Legal business name

SOUTHEASTERN MEDICAL SERVICES LLC

Practice address

1225 W Main St
Ste 205
Norman, OK 73069-6824

Phone

(405) 292-5500

Fax

(405) 292-5505

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Stephen Riddel, M.D.

Title

Managing Partner

Phone

(405) 292-5500

Specialties & licenses 1

Addresses

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.

• William M Lytkowski, D.O.

  • Anesthesiology Physician
  • Ardmore, OK
  • NPI 1275504649
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1619277688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722606",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708981",
            "telephone_number": "405-292-5500",
            "fax_number": "405-292-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W MAIN ST",
            "address_2": "STE 205",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696824",
            "telephone_number": "405-292-5500",
            "fax_number": "405-292-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "RIDDEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "405-292-5500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "16862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sooner Health Services PT, LLC
• Sooner Urgent Care LLC
• Shaina Cornaby Sorenson, DPT
• Neeley Sorrels
• Nicol Marie Soto
• Southern Anesthesia Services Inc
• Southern Oklahoma Pet Imaging LLC
• Southern Oklahoma Treatment Serices, Inc.
• Southern Plains Medical Center Inc (CareFirst Wellness Associates)
• Southern Plains Treatment Services

• Obstetrics & Gynecology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Obstetrics & Gynecology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.