Active NPI
Sterling Etim Euk Udom, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1699124297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 1699124297
- Practice address
- 750 NE 13TH, Suite 200
College of Medicine
Oklahoma City, OK 73104 - Phone
- (405) 271-4351
- Fax
- (405) 271-8695
- NPI assigned
- Jun 6, 2016
- Last updated
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1699124297 | OK | Primary |
Addresses
Primary practice location
750 NE 13TH, Suite 200
College of Medicine
Oklahoma City, OK 73104
Mailing address
750 NE 13TH, Suite 200
College of Medicine
Oklahoma City, OK 73104
Phone (405) 271-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1699124297 | OK | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1699124297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 NE 13TH, SUITE 200",
"address_2": "COLLEGE OF MEDICINE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 NE 13TH, SUITE 200",
"address_2": "COLLEGE OF MEDICINE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOM",
"first_name": "STERLING",
"middle_name": "ETIM EUK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "1699124297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.