Organization Active NPI

Urology Surgeons of Oklahoma PC

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1902043086
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY SURGEONS OF OKLAHOMA PC
Practice address
4200 W Memorial Rd Ste 501
Oklahoma City, OK 73120-8359
Phone
(405) 749-9889
Fax
(405) 755-1166
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Dr. Basel S Hassoun, MDNPI 1568579308
Title
Provider
Phone
(405) 749-9889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4200 W Memorial Rd Ste 501
Oklahoma City, OK 73120-8359

Mailing address

4200 W Memorial Rd Ste 501
Oklahoma City, OK 73120-8359
Phone (405) 749-9889

Other identifiers 2

IdentifierTypeStateIssuer
DO9183OtherOKRAILROAD MEDICARE
200240460AMedicaidOK

Other names 1

  • Urology Surgeons of Oklahoma PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090424000103 OK Part B Supplier - Clinic/Group Practice 3678620408 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

4200 W Memorial Rd
Ste 501
Oklahoma City, OK 73120
Phone (405) 749-9889

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1902043086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "405-749-9889",
            "fax_number": "405-755-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 501",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208359",
            "telephone_number": "405-749-9889",
            "fax_number": "405-755-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SURGEONS OF OKLAHOMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "HASSOUN",
        "authorized_official_first_name": "BASEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "405-749-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO9183",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200240460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Surgeons of Oklahoma PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 7, 2009; 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.