UROLOGY CENTER OF SOUTHERN OKLAHOMA,PC
NPI 1881609568
Urology in Ardmore, OK

Active since July 30, 2006CLIA 37D0472947 · Certificate of Compliance
1119 WALNUT DR STE 2, ARDMORE, OK 73401(580) 226-8310(580) 223-3911 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Urology Center Of Southern Oklahoma,pc NPPES

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

UROLOGY CENTER OF SOUTHERN OKLAHOMA,PC (NPI 1881609568) is a healthcare organization registered as an urology in Ardmore, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 2, 2027 and lists Danyelle Holinsworth, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1881609568
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY CENTER OF SOUTHERN OKLAHOMA,PC
Location Address1119 WALNUT DR STE 2Ardmore, OK 73401-2360
Mailing AddressPo Box 1429Ardmore, OK 73402-1429 · (580) 226-8310 · Fax (580) 223-3911
Fax(580) 223-3911
Organization SubpartNo
Authorized OfficialDanyelle HolinsworthPractice Manager · (580) 226-8311
Enumeration DateJuly 30, 2006
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1881609568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1119 WALNUT DR STE 2, Ardmore, OK 73401

Other Names 1

Other NameUcso

Other Identifiers 1

Medicaid2000755650AOK

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Urology Center Of Southern Oklahoma,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Urology Center Of Southern Oklahoma,pc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1093103152
1119 WALNUT DR STE 2
Ardmore, OK 73401
(580) 226-8310
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1366406217
915 10TH AVE NW
Ardmore, OK 73401
(580) 226-8310
✔ PECOS✔ Accepts Medicare0.3 mi
Urology
NPI 1639133580
915 10TH AVE NW
Ardmore, OK 73401
(580) 226-8310
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 37D0472947

Urology Center Of Southern Oklahoma, PC · Ardmore, OK
Active · expires Nov 2, 2027
CLIA Number37D0472947
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorAmara C. Siva
Laboratory Phone(580) 226-8310
Laboratory LocationUrology Center Of Southern Oklahoma, PC1119 Walnut Dr, Ste 2, Ardmore, OK 73401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Urology Center Of Southern Oklahoma,pc's NPI number?

The NPI number for Urology Center Of Southern Oklahoma,pc is 1881609568. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is also known as Ucso.

Where is Urology Center Of Southern Oklahoma,pc located?

Urology Center Of Southern Oklahoma,pc is located at 1119 Walnut Dr Ste 2, Ardmore, OK 73401. The listed phone number is (580) 226-8310.

What is Urology Center Of Southern Oklahoma,pc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Urology Center Of Southern Oklahoma,pc enrolled in Medicare?

Yes. Urology Center Of Southern Oklahoma,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urology Center Of Southern Oklahoma,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Urology Center Of Southern Oklahoma,pc, in Nurse Practitioner and Urology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urology Center Of Southern Oklahoma,pc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 37D0472947) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Urology Center Of Southern Oklahoma,pc was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.