Southern Oklahoma Infectious Diseases Consultants, PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25783 Issued in OK

Legal business name

SOUTHERN OKLAHOMA INFECTIOUS DISEASES CONSULTANTS, PC

Practice address

5108 W Gore Blvd
Suite 1
Lawton, OK 73505-6025

Phone

(580) 353-1094

Fax

(580) 531-0270

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Quinones-Nazario, MD

Title

President

Phone

(580) 353-1094

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.

• Brian Gillam Birdwell, M.D.

  • Internal Medicine Physician
  • Lawton, OK
  • NPI 1013909605
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1922296805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6035",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735060035",
            "telephone_number": "580-353-1094",
            "fax_number": "580-531-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 W GORE BLVD",
            "address_2": "SUITE 1",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056025",
            "telephone_number": "580-353-1094",
            "fax_number": "580-531-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA INFECTIOUS DISEASES CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "QUINONES-NAZARIO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-353-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "25783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Sosebee
• Wanda Marie Soto-Torres, B.S.
• Miranda Soto
• Souhwest Oral Surgery PC
• Andrea Southerland, DPH
• Southern Oklahoma Treatment Services
• Southern Oklahoma Treatment Services, Inc.
• Anna Southern
• Deborah Jean Southern
• Southwest Anesthesia - Service of Comanche County Memorial Hospital

• Infectious Disease Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Infectious Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.