NPIMap

Organization Active NPI

Norman Urology Associates PC

  • Pediatric Urology Physician
  • Norman, OK
National Provider Identifier
1679645055
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
14289 Issued in OK
Legal business name
NORMAN UROLOGY ASSOCIATES PC
Practice address
500 E Robinson St
Suite 1300
Norman, OK 73071-6697
Phone
(405) 360-9966
Fax
(405) 360-9905
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Dr. S. Edward Dakil, M.D.
Title
President
Phone
(405) 360-9966

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2088P0231X 14289 OK Primary
Pediatric Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2088P0231X 13245 OK
Pediatric Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2088P0231X PAC1234 OK

Addresses

Primary practice location

500 E Robinson St
Suite 1300
Norman, OK 73071-6697

Mailing address

500 E Robinson St
Suite 1300
Norman, OK 73071-6697
Phone (405) 360-9966

Other identifiers 3

IdentifierTypeStateIssuer
100125830AMedicaidOK
100095640AMedicaidOK
10012080AMedicaidOK

Other names 1

  • NORMAN UROLOGY ASSOCIATES Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000406 OK Part B Supplier - Clinic/Group Practice 6103888961 Receives reassigned benefits from 10 practitioners
Practice locations: Moore, OK; Norman, OK

National Provider Directory

National Provider Directory

Locations

2201 W Iowa Ave
Chickasha, OK 73018
Phone (405) 222-2011

2117 Riverwalk Dr
#A
Moore, OK 73160
Phone (405) 360-9966

4200 S Douglas Ave
Ste 200A
Oklahoma City, OK 73109

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1679645055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST",
            "address_2": "SUITE 1300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716697",
            "telephone_number": "405-360-9966",
            "fax_number": "405-360-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST",
            "address_2": "SUITE 1300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716697",
            "telephone_number": "405-360-9966",
            "fax_number": "405-360-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN UROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "DAKIL",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-360-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "OK",
            "license": "14289",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "OK",
            "license": "13245",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "OK",
            "license": "PAC1234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125830A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095640A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10012080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORMAN UROLOGY ASSOCIATES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NORMAN UROLOGY ASSOCIATES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.