OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC (NPI# 1043562119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043562119 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Practice Address |
3400 W Tecumseh Rd Ste 101 Norman OK 73072-1810 |
| Practice Telephone | 4053606764 |
| Practice Fax Number | 4053606769 |
| Mailing Telephone | 4053606764 |
| Mailing Fax Number | 4053606769 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | BRANDON PENICK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4053606764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211982 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 | 2015-12-08 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1487992749 | Oklahoma Sports and Orthopedics Institute Pllc | Clinic/Center | 13500 S Tulsa Dr, Suite 301, Oklahoma City, OK 73170-9704 | 2013-01-22 |
| 1710239645 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 520 S Telephone Rd, Ste 207, Moore, OK 73160-5423 | 2012-10-02 |
| 1033461975 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2012-10-02 |
| 1609128537 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 608 Nw 9th St, Ste 6000, Oklahoma City, OK 73102-1068 | 2012-10-02 |
| 1497007322 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2012-10-02 |
| 1578658035 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 2006-10-03 |
| Street Address |
3400 W TECUMSEH RD STE 101 |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657532 | Allison L Huebert | Obstetrics & Gynecology | 3400 W Tecumseh Rd, Suite 205, Norman, OK 73072-1810 | 2005-05-23 |
| 1558826925 | Jordan Elizabeth Hobbs | Physician Assistant | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2019-02-09 |
| 1861915324 | Huong M Doan | Registered Nurse | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2017-07-17 |
| 1609221415 | Andrea Mae Freymiller | Specialist/Technologist | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2016-04-29 |
| 1649625617 | Stephanie Woodruff | Specialist/Technologist | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2016-04-27 |
| 1679960041 | Joseph Randall Waldron | Community Health Worker | 3400 W Tecumseh Rd, Ste 101, Norman, OK 73072-1810 | 2015-04-22 |
| 1659769784 | Nrhs Health and Wellness Services | Dietitian, Registered | 3400 W Tecumseh Rd, Suite 206, Norman, OK 73072-1810 | 2014-12-23 |
| 1699175943 | Robert M Polk | Specialist/Technologist | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2014-08-23 |
| 1386069268 | Underhill Psychological Consulting | Psychologist | 3400 W Tecumseh Rd, Suite 105, Norman, OK 73072-1810 | 2014-02-28 |
| 1275874026 | Jeremy G Tanner | Nurse Practitioner | 3400 W Tecumseh Rd, 100, Norman, OK 73072-1810 | 2013-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326086505 | Tom Wallace Ewing | Orthopaedic Surgery | 1020 24th Ave Nw, Suite 100, Norman, OK 73069-6341 | 2006-06-02 |
| 1578044616 | Steven Schultz, Md | Orthopaedic Surgery | 4217 28th Ave Nw Ste 111, Norman, OK 73069-8358 | 2018-08-27 |
| 1629331921 | Jacob Asher Haynes | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2012-06-21 |
| 1871854554 | Clayton Ellis Nelson | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072 | 2012-05-30 |
| 1043400641 | John L Glomset IIi | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2007-07-30 |
| 1154527992 | Benjamin Isaac Panter | Orthopaedic Surgery | 3700 36th Ave Nw, Norman, OK 73072-1803 | 2007-06-26 |
| 1487793311 | Brian E Clowers | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2007-02-06 |
| 1922147792 | Zakary A Knutson | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2007-02-06 |
| 1578658035 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 2006-10-03 |
| 1902813603 | Richard A. Kirkpatrick | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072 | 2006-08-02 |
| Find all providers in NORMAN | ||||
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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.