Southern Oklahoma Anesthesiology, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

9156 Issued in OK

Legal business name

SOUTHERN OKLAHOMA ANESTHESIOLOGY, INC

Practice address

430 N Monte Vista St
Ada, OK 74820-4610

Phone

(580) 421-1160

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Boyce R Coleman, MD

Title

Owner

Phone

(580) 272-0485

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1881914307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1907",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748211907",
            "telephone_number": "580-272-0485",
            "fax_number": "580-332-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-421-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA ANESTHESIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BOYCE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-272-0485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "9156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099490-A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Central Oklahoma Radiology PLLC
• Southeast Oklahoma Oral & Maxillofacial Surgery, PC
• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Neurosciences
• Southeastern Women'S Health Center
• Southern Oklahoma Internal Medicine P C
• Southern Oklahoma Lifeline LLC
• Southern Oklahoma Pathology Assoc., Inc.
• Southern Oklahoma Pediatrics Inc
• Southern Oklahoma Psychological Associates Inc.

• Anesthesiology Physician in Ada, OK
• Providers in Ada, OK by specialty
• Anesthesiology Physician in Oklahoma

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