C L SOO MD PC (NPI# 1588983100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588983100 |
| Entity Type | Organization |
| Organization Name | C L SOO MD PC |
| Practice Address |
1044 Sw 44th St Suite 600 Oklahoma City OK 73109-3613 |
| Mailing Address |
3705 W Memorial Rd Suite 302 Oklahoma City OK 73134-1512 |
| Practice Telephone | 4056314263 |
| Practice Fax Number | 4056311767 |
| Mailing Telephone | 4057759350 |
| Mailing Fax Number | 4057759360 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | DR. CHENG-LUN SOO (OWNER) |
| Authorized Official Telephone | 4052550309 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
21124 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1044 SW 44TH ST SUITE 600 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841903 | Houshang Seradge | Orthopaedic Surgery | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2005-06-20 |
| 1801252952 | Anesthesia Specialists of Oklahoma LLC | Nurse Anesthetist, Certified Registered | 1044 Sw 44th St, Oklahoma City, OK 73109-3613 | 2016-01-05 |
| 1255765376 | Houshang Seradge Md PC | Surgery | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2013-08-26 |
| 1154646651 | Jeffrey Kristjan Prise | Physical Therapist | 1044 Sw 44th St, 300, Oklahoma City, OK 73109-3613 | 2010-03-29 |
| 1730349259 | Daniel W Lee Md PC | Internal Medicine | 1044 Sw 44th St, Suite 410, Oklahoma City, OK 73109-3613 | 2008-06-10 |
| 1396911160 | Pedro Gismondi | Internal Medicine | 1044 Sw 44th St, Suite 600, Oklahoma City, OK 73109-3613 | 2008-05-01 |
| 1770761819 | Melea Wilson | Occupational Therapist | 1044 Sw 44th St, #300, Oklahoma City, OK 73109-3613 | 2008-01-31 |
| 1629105036 | Evan W Luttrell | Nurse Anesthetist, Certified Registered | 1044 Sw 44th St, Suite 415, Oklahoma City, OK 73109-3613 | 2007-02-27 |
| 1700922317 | Jims Tower Pharmacy Inc | Pharmacy | 1044 Sw 44th St, Ste 103, Oklahoma City, OK 73109-3613 | 2007-01-30 |
| 1740335827 | Richard Drew Dds & J 'gus' Wilson Dds PC | Dentist | 1044 Sw 44th St, Suite 510, Oklahoma City, OK 73109-3613 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255893335 | Sok Care of Ok, LLC | Orthopaedic Surgery | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1568934859 | Orthopedic Spine Associates | Orthopaedic Surgery | 14100 Parkway Commons Dr Ste 101, Oklahoma City, OK 73134-6036 | 2018-12-26 |
| 1013488048 | Essential Integrative Health Pllc | Orthopaedic Surgery | 3705 Nw 63rd St Ste 201, Oklahoma City, OK 73116-1937 | 2018-12-17 |
| 1154820009 | Spine Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 1, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1619476561 | Joint Replacement Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 2, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1952724494 | Jeffrey Schimandle | Orthopaedic Surgery | 6112 N Villa Ave, Oklahoma City, OK 73112-7159 | 2014-02-03 |
| 1013912617 | Cheng-lun Soo | Orthopaedic Surgery | 9821 S May Ave Ste B, Oklahoma City, OK 73159-7042 | 2005-06-20 |
| 1871971150 | Essential Integrative Health Pllc | Orthopaedic Surgery | 3130 Sw 89th St Ste 200, Oklahoma City, OK 73159 | 2015-05-07 |
| 1912268921 | Kevin Frank Wiley | Orthopaedic Surgery | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2012-06-06 |
| 1023240538 | Oklahoma Spine Surgery & Orthopedics | Orthopaedic Surgery | 3110 Sw 89th St, 102, Oklahoma City, OK 73159-7920 | 2009-08-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.