SOUTHERN OKLAHOMA UROLOGY, INC
NPI 1528254109
Clinic/Center - Medical Specialty in Ada, OK

Q: What is Southern Oklahoma Urology, Inc's NPI number?

The NPI number for Southern Oklahoma Urology, Inc is 1528254109. It was assigned to this organization in the NPPES registry on September 18, 2007.

Q: What is Southern Oklahoma Urology, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since September 18, 2007

1414 ARLINGTON ST, SUITE 2300, ADA, OK 74820(580) 332-0112(580) 332-1005 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Southern Oklahoma Urology, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OKLAHOMA UROLOGY, INC (NPI 1528254109) is a healthcare organization registered as a medical specialty in Ada, Oklahoma and active in the NPI registry since September 2007. The organization lists Glen E Diacon, President, as its authorized official.

NPPES Registry Identity

NPI1528254109

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSOUTHERN OKLAHOMA UROLOGY, INC

Location Address1414 ARLINGTON ST, SUITE 2300Ada, OK 74820-2643

Mailing Address1414 Arlington St, Suite 2300Ada, OK 74820-2643 · (580) 332-0112 · Fax (580) 332-1005

Phone(580) 332-0112

Fax(580) 332-1005

Organization SubpartNo

Authorized OfficialGlen E DiaconPresident · (580) 332-0112

Enumeration DateSeptember 18, 2007

✔ NPI 1528254109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1414 ARLINGTON ST, Ada, OK 74820

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORNING EYE CENTER, PLLC

Ophthalmology

1414 ARLINGTON ST, SUITE 1400
ADA, OK 74820

Pontotoc County (580) 332-1880

ADA PEDIATRIC CLINIC

Pediatrics

1414 ARLINGTON ST, SUITE 1700
ADA, OK 74820

Pontotoc County (580) 332-7337

MARK C LEU PA-C

Physician Assistant (Medical)

1414 ARLINGTON ST, SUITE 2300
ADA, OK 74820

Pontotoc County (580) 332-0112

DUSTY K DENNIS PT

Physical Therapist

1414 ARLINGTON ST, STE 2200
ADA, OK 74820

Pontotoc County (580) 371-8401

GLEN EDWARD DIACON JR. MD

Specialist

1414 ARLINGTON ST, SUITE 2300
ADA, OK 74820

Pontotoc County (580) 332-0112

THERACOMPRX LLC

Pharmacy (Compounding Pharmacy)

1414 ARLINGTON ST, STE 2200
ADA, OK 74820

Pontotoc County (580) 436-9922

PATRICK J O'NEILL DO

Family Medicine

1414 ARLINGTON ST, SUITE 2200
ADA, OK 74820

Pontotoc County (580) 310-9800

ALICIA SMITH

Pharmacist

1414 ARLINGTON ST, STE 2000
ADA, OK 74820

Pontotoc County (580) 332-5720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oklahoma Urology, Inc's NPI number?

The NPI number for Southern Oklahoma Urology, Inc is 1528254109. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Southern Oklahoma Urology, Inc located?

Southern Oklahoma Urology, Inc is located at 1414 Arlington St Suite 2300, Ada, OK 74820. The listed phone number is (580) 332-0112.

What is Southern Oklahoma Urology, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Southern Oklahoma Urology, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Southern Oklahoma Urology, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Oklahoma Urology, Inc was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.