UNIVERSITY OF CENTRAL OKLAHOMA (NPI# 1063994853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063994853 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF CENTRAL OKLAHOMA |
| Other Organization Name | UCO SPORTS MEDICINE |
| Practice Address |
100 N University Dr Edmond OK 73034-5207 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | BRITNI BRANNON (ASSISTANT ATHLETIC DIRECTOR) |
| Authorized Official Telephone | 4059742168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UCO Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF CENTRAL OKLAHOMA FOUNDATION | 100 N University Dr #101, Edmond, OK 73034-5207 |
| Oklahoma Business Registrations | UNIVERSITY OF CENTRAL OKLAHOMA FOUNDATION | 100 N University Dr, Edmond, OK 73034 |
| Street Address |
100 N UNIVERSITY DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689638207 | Jeffrey Lynn Mckibbin | Specialist/Technologist | 100 N University Dr, Box 189, Wantland Hall, Edmond, OK 73034-5207 | 2006-04-12 |
| 1689285652 | Masonn Steffen | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-08-13 |
| 1881205714 | Kaitlyn Duca | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-08-13 |
| 1619595386 | Ryan Kednall Reynolds | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1790303386 | Mariah Ashley Fugate | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1245858901 | Veshawn Blackshire | Student in an Organized Health Care Education/Training Program | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1770101438 | Christian Moody | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1497373153 | Seth Eidson | Student in an Organized Health Care Education/Training Program | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1457979122 | Hailey White | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-07-09 |
| 1285274704 | Taylor Mcclure | Specialist/Technologist | 100 N University Dr, Edmond, OK 73034-5207 | 2020-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1154504264 | David Alan Rhodes | Orthopaedic Surgery | 4833 Integris Pkwy Ste 150, Edmond, OK 73034-8864 | 2007-12-12 |
| 1871608497 | Charles David Wood | Orthopaedic Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 | 2006-08-21 |
| 1427083609 | Joel Scott Tupper | Orthopaedic Surgery | 1913 W 33rd St, Suite 110, Edmond, OK 73013-3879 | 2006-07-12 |
| 1215917778 | William J. Hale II | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013-8504 | 2006-01-20 |
| 1427044015 | Rick D Beller | Orthopaedic Surgery | 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013-3084 | 2005-09-20 |
| 1003354689 | Memorial Hospital of Texas County Authority | Orthopaedic Surgery | 1800 Renaissance Blvd, Second Floor Tower, Suite 210, Edmond, OK 73013-3023 | 2017-02-03 |
| 1184179988 | Zeiders Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 | 2016-08-22 |
| 1821231929 | Tupper Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2009-04-20 |
| 1982863254 | Jonathan Henry Capelle | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2008-06-03 |
| 1174781926 | John B Gruel | Orthopaedic Surgery | 4833 Integris Pkwy, Suite 150, Edmond, OK 73034-8864 | 2008-05-29 |
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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.