Southeastern Neurology, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22154 Issued in OK

Legal business name

SOUTHEASTERN NEUROLOGY, PC

Practice address

2 E Clark Bass Blvd Ste 305
McAlester, OK 74501-4210

Phone

(918) 421-6630

Fax

(918) 421-6631

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Smaranda GalisNPI 1386611473

Title

Owner

Phone

(918) 421-6630

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Smaranda A Galis, MD

  • Neurology Physician
  • Tulsa, OK
  • NPI 1386611473
  NPD Authorized official

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1831108802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD STE 305",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014210",
            "telephone_number": "918-421-6630",
            "fax_number": "918-421-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CLARK BASS BLVD STE 305",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014210",
            "telephone_number": "918-421-6630",
            "fax_number": "918-421-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "GALIS",
        "authorized_official_first_name": "SMARANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-421-6630"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "22154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Eye Surgery Clinic
• Southeast Oklahoma Medical Clinic, LLC
• Southeastern Clinical Inc
• Southeastern Clinical Inc
• Southeastern Medical Laboratory, Inc (Ricky L. Judge M.D.)
• Southeastern Oklahoma Social Services Inc.
• Southeastern Psychiatric Services
• Southeastern Psychiatric Services LLC
• Southeastern Radiology P.C.
• Southern Oklahoma Treatment Services, Inc. (McAlester Treatment Services)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.