Southern Okla Surgical Services

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0064 Issued in OK

Legal business name

SOUTHERN OKLA SURGICAL SERVICES

Practice address

2002 12TH NW
Ste C
Ardmore, OK 73401

Phone

(580) 224-0007

Fax

(580) 223-7140

NPI assigned

Jan 30, 2006

Organization subpart

No

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

Authorized official

Name

J Keith Troop, MD

Title

President

Phone

(580) 224-0007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ardmore Regional Surgery Center Doing business as

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922079896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 12TH NW",
            "address_2": "STE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-224-0007",
            "fax_number": "580-223-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH NW",
            "address_2": "STE C",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-224-0007",
            "fax_number": "580-223-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLA SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TROOP",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-224-0007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10074824A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardmore Regional Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southbrook Healthcare, Inc.
• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Family Services, Inc.
• Jade Southerland
• Southern Ok. Ambulance Service, Inc.
• Southern Oklahoma Ambulance Service, Inc.
• Southern Oklahoma Diagnostic Center, LLC
• Southern Oklahoma Ear Nose Throat and Allgery Clinic Inc
• Southern Oklahoma Kidney Center Inc
• Southern Oklahoma Lifestyles and Preventative Medicine

• Ambulatory Surgical Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.