Active NPI
Southward Family Medicine
- Primary Care Clinic/Center
- Ardmore, OK
National Provider Identifier
1962510032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 21988
- Legal business name
- SOUTHWARD FAMILY MEDICINE
- Practice address
- 1111 Walnut Dr
Ardmore, OK 73401-2354 - Phone
- (580) 223-9008
- Fax
- (580) 223-9114
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lauren Southward, M.D.
- Title
- Owner
- Phone
- (580) 223-9008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 21988 | OK | Primary |
Addresses
Primary practice location
1111 Walnut Dr
Ardmore, OK 73401-2354
Mailing address
1111 Walnut Dr
Ardmore, OK 73401-2354
Phone (580) 223-9008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442785229-001 | Medicaid | OK |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/12295/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614816000000",
"number": "1962510032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012354",
"telephone_number": "580-223-9008",
"fax_number": "580-223-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012354",
"telephone_number": "580-223-9008",
"fax_number": "580-223-9114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWARD FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A",
"authorized_official_last_name": "SOUTHWARD",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-223-9008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OK",
"license": "21988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "442785229-001",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, OK
- Southern Oklahoma Treatment Services, Inc.
- Southern Oklahoma Treatment Services, Inc.
- Southern Oklahoma Treatment Services, Inc.
- Southern Oklahoma Women'S Health
- Evelyn Southers, CASE MANAGER
- Lauren Brooks Southward, M.D.
- Alicia M Spalding, RBT
- Courtney Spears
- Speech Pathology Services, PLLC
- Speech Pathways, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.