Southern Oklahoma Pediatrics Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

11462 Issued in OK

Legal business name

SOUTHERN OKLAHOMA PEDIATRICS INC

Practice address

1214 Arlington St
Ada, OK 74820-4045

Phone

(580) 436-2283

Fax

(580) 436-2291

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tawfik Z Ramadan, M.D.NPI 1548252299

Title

Pediatrician

Phone

(580) 436-2283

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tawfik Ramadan, MD

  • Specialist
  • Ada, OK
  • NPI 1548252299
  Medicare reassignment NPD Authorized official
• Suha Tawfik Ramadan, M.D.

  • Pediatrics Physician
  • Edmond, OK
  • NPI 1255398269
  Medicare reassignment NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1780705772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204045",
            "telephone_number": "580-436-2283",
            "fax_number": "580-436-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204045",
            "telephone_number": "580-436-2283",
            "fax_number": "580-436-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "RAMADAN",
        "authorized_official_first_name": "TAWFIK",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "580-436-2283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "11462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108060 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100734530 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Women'S Health Center
• Southern Oklahoma Anesthesiology, Inc
• Southern Oklahoma Internal Medicine P C
• Southern Oklahoma Lifeline LLC
• Southern Oklahoma Pathology Assoc., Inc.
• Southern Oklahoma Psychological Associates Inc.
• Southern Oklahoma Treatment Serices, Inc.
• Southern Oklahoma Urology, Inc
• Southwest Medical Specialist
• Sovereign Family Clinic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.