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LAKESIDE PHYSICIAN GROUP
NPI 1811295108
Obstetrics & Gynecology in Oklahoma City, OK

Active since March 10, 2011
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120(405) 936-1500(405) 418-0524 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Physician Group NPPES

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

LAKESIDE PHYSICIAN GROUP (NPI 1811295108) is a healthcare organization registered as an obstetrics & gynecology in Oklahoma City, Oklahoma and active in the NPI registry since March 2011. The organization lists Darla Mccallister, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811295108
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLAKESIDE WOMEN'S CENTER OF OKLAHOMA CITY, LLC
Location Address11200 N PORTLAND AVEOklahoma City, OK 73120-5045
Mailing AddressPo Box 8387Belfast, ME 04915-8300 · (405) 936-1577 · Fax (866) 354-4053
Phone(405) 936-1500
Fax(405) 418-0524
Organization SubpartYes
Authorized OfficialDarla MccallisterCfo · (405) 936-1554
Enumeration DateMarch 10, 2011
Last NPPES UpdateFebruary 24, 2012
✔ NPI 1811295108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11200 N PORTLAND AVE, Oklahoma City, OK 73120
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Other Names 1

Doing Business AsLakeside Physician Group

Other Identifiers 3

Other000370199001OK · Bcbs
Medicare PIN400522024OK
Medicaid100745350COK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. JENNIFER K. NELSON M.D.
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
DONNA JEAN HENDRIX RNC-NICU-IBCLC
Registered Nurse (Lactation Consultant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1500
DR. MARGARET A. HALL M.D.
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
DR. DONNA SERES M.D.
Obstetrics & Gynecology
11200 N PORTLAND AVE, 2ND FL
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
OKLAHOMA CITY GYNECOLOGY AND OBSTETRICS, LLC
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1000
DANIEL NELSON FONG MD
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1092
BRETT MATTHEW SMITH MD
Anesthesiology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-1500
ROBIN T BAYLESS MD
Anesthesiology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 272-9644

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 Lakeside Women's Center Of Oklahoma City, LLC's NPI number?

The NPI number for Lakeside Women's Center Of Oklahoma City, LLC is 1811295108. It was assigned to this organization in the NPPES registry on March 10, 2011. The provider is doing business as Lakeside Physician Group.

Where is Lakeside Women's Center Of Oklahoma City, LLC located?

Lakeside Women's Center Of Oklahoma City, LLC is located at 11200 N Portland Ave, Oklahoma City, OK 73120. The listed phone number is (405) 936-1500.

What is Lakeside Women's Center Of Oklahoma City, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Women's Center Of Oklahoma City, LLC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.