Urologic Specialists of Oklahoma Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGIC SPECIALISTS OF OKLAHOMA INC

Practice address

12455 E 100TH St N Ste 280
Owasso, OK 74055-4675

Phone

(918) 505-2634

Fax

(918) 248-0134

NPI assigned

Jan 21, 2025

Organization subpart

No

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

Authorized official

Name

Shaun Gobind Singh Grewal

Title

Authorized Official

Phone

(918) 749-8765

Specialties & licenses 1

Addresses

Other names 1

• Urologic Specialists Owasso Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Urologic Specialists of Oklahoma Inc

  • Urology Physician
  • Tulsa, OK
  • NPI 1174546162

  3779470091

  Same PAC ID
• Urologic Specialists of Oklahoma Inc

  • Urology Physician
  • Fort Smith, AR
  • NPI 1831944487

  3779470091

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Urologic Specialists of Arkansas PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Urologic Specialists of Oklahoma

  • Urology Physician
  • Tulsa, OK
  • NPI 1669700571
  NPD tax ID
• Urologic Specialists of Oklahoma Inc

  • Urology Physician
  • Fort Smith, AR
  • NPI 1831944487
  NPD tax ID

Locations

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1619789310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 E 48TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465830",
            "telephone_number": "918-749-8765",
            "fax_number": "918-392-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N STE 280",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554675",
            "telephone_number": "918-505-2634",
            "fax_number": "918-248-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SPECIALISTS OF OKLAHOMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "GOBIND SINGH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-749-8765"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urologic Specialists Owasso",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gillian Umphenour
• Stephanie Ann Underhill
• Rebecca Faye Undernehr, M.S., CCC-SLP
• Kayli Underwood
• Urgent Care of Green Country PLLC
• Kongcheng Vahchuama, PHARMD.
• Valet Vision LLC
• Heather Ann Van Wyhe, DC
• Samantha Phoua Vang-Cheng, DO
• John Vang

• Urology Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.