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: July 19, 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
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

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


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE, 2ND FL
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE, 2ND FL
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Specialist
11200 N PORTLAND AVE, 2ND
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Obstetrics & Gynecology)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Registered Nurse (Registered Nurse First Assistant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Registered Nurse (Lactation Consultant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Registered Nurse (Lactation Consultant)
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Massage Therapist
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Obstetrics & Gynecology
11200 N PORTLAND AVE
OKLAHOMA CITY, OK 73120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811295108, enumerated as an "organization" on March 10, 2011.

The provider is located at 11200 N PORTLAND AVE OKLAHOMA CITY, OK 73120 and the phone number is (405) 936-1500.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.