Urology Center of Southern Oklahoma,PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY CENTER OF SOUTHERN OKLAHOMA,PC

Practice address

1119 Walnut Dr Ste 2
Ardmore, OK 73401-2360

Phone

(580) 226-8310

Fax

(580) 223-3911

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Danyelle Holinsworth

Title

Practice Manager

Phone

(580) 226-8311

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• UCSO Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Hayden D. Henry, M.D.

  • Urology Physician
  • Ardmore, OK
  • NPI 1639133580
  Medicare reassignment Care Compare group NPD
• Jodi Robinson, APRN

  • Family Nurse Practitioner
  • Ardmore, OK
  • NPI 1093103152
  Medicare reassignment Care Compare group NPD
• Bolaji S. Sofola, M.D.

  • Urology Physician
  • Ardmore, OK
  • NPI 1366406217
  Medicare reassignment Care Compare group NPD
• Jason T. Smotherman, M.D.

  • Urology Physician
  • Tucson, AZ
  • NPI 1457315301
  NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1881609568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021429",
            "telephone_number": "580-226-8310",
            "fax_number": "580-223-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 WALNUT DR STE 2",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012360",
            "telephone_number": "580-226-8310",
            "fax_number": "580-223-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER OF SOUTHERN OKLAHOMA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "HOLINSWORTH",
        "authorized_official_first_name": "DANYELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "580-226-8311"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000755650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chloe Tynes
• Brittani Ulrich
• Ultimate Direct Primary Care PLLC
• Armida Untalan Querubin, RPT
• Urgent Care Center of Ardmore Inc
• Joshua Lael Utt
• Brooklynn Vaile
• Valcasara Chiropractic LLC
• Lindsay Nicole Vanbuskirk
• Ashlee Vanhuss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.