SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC


Address: 100 Mcdougal Dr, Holdenville, OK 74848-2822
Phone: 4056324468

SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC (NPI# 1073998415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073998415
Entity Type Organization
Organization Name SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC
Other Organization Name SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS
Practice Address 100 Mcdougal Dr
Holdenville
OK 74848-2822
Mailing Address 8100 S. Walker Avenue
Building A
Oklahoma City
OK 73139-9404
Practice Telephone 4056324468
Practice Fax Number 4056327462
Mailing Telephone 4056324468
Mailing Fax Number 4056314964
Enumeration Date 2015-07-28
Last Update Date 2015-07-28
Authorized Official Name IRA WAYNE ALLISON (ADMINISTRATOR)
Authorized Official Telephone 4056324468
Is Organization Subpart Y
Parent Organization Name SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC
Parent Organization TIN

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Southwest Orthopaedic & Reconstructive Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538544986 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 1109 N. Glenn English, Cordell, OK 73632 2015-07-28
1881079226 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 1900 Country Club Road, El Reno, OK 73036 2015-07-28
1437405081 Southwest Orthopaedic Specialists, Pllc Surgery 1805 Commons, Suite C, Yukon, OK 73099-9519 2012-08-01
1285980821 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 3130 Hayes Ave, Clinton, OK 73601-3601 2012-08-01
1659627289 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 2506 North Harrison Avenue, Shawnee, OK 74804-4022 2012-08-01
1487058996 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 625 N Monte Vista St, Ada, OK 74820-4613 2014-10-13
1558761270 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 2014-08-29
1477970986 Southwest Orthopaedic Specialists, Pllc Durable Medical Equipment & Medical Supplies 13 West Main Street, Carnegie, OK 73015 2014-03-21
1598191371 Southwest Orthopaedic Specialists, Pllc Durable Medical Equipment & Medical Supplies 13301 N Meridian Ave, Building 600, Oklahoma City, OK 73120-9369 2013-09-24
1457607004 Southwest Orthopaedic Specialists, Pllc Orthopaedic Surgery 2403 W Wrangler Blvd, Ste A, Seminole, OK 74868-1900 2012-08-01

Office Location

Street Address 100 MCDOUGAL DR
City HOLDENVILLE
State OK
Zip Code 74848-2822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669461372 John M Swirczek Anesthesiology 100 Mcdougal Dr, Holdenville, OK 74848-2822 2005-10-14
1184073991 Saba Suhail Family Medicine 100 Mcdougal Dr, Holdenville, OK 74848-2822 2016-06-13
1356704928 Karis Ashley Rodriguez Nurse Practitioner 100 Mcdougal Dr, Holdenville, OK 74848-2899 2016-03-31
1104287044 Julia Amilee Dority Nurse Practitioner 100 Mcdougal Dr, Holdenville, OK 74848-2822 2016-03-18
1902265309 Holdenville Hospital Authority Clinic/Center 100 Mcdougal Dr, Holdenville, OK 74848-2822 2016-02-15
1558740639 Antoine Michael Khalaf Jr. Family Medicine 100 Mcdougal Dr, Holdenville, OK 74848-2822 2015-05-22
1144625732 Aeric Wynn Creekmore II Nurse Practitioner 100 Mcdougal Dr, Holdenville, OK 74848-2822 2014-10-26
1821417015 Holdenville Hospital Authority Medicare Defined Swing Bed Unit 100 Mcdougal Dr, Holdenville, OK 74848-2822 2014-04-15
1780003970 Holdenville Hospital Authority Clinic/Center 100 Mcdougal Dr, Holdenville, OK 74848-2822 2014-04-15
1871912063 Holdenville Hospital Authority Clinic/Center 100 Mcdougal Dr, Holdenville, OK 74848-2822 2014-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790276160 Corner Clinic Aprn-cnp Pllc Clinic/Center 201 N Hinkley, Holdenville, OH 74848 2018-05-22
1063948230 Savannah Ione Hartwick Personal Emergency Response Attendant 400 Crestview Dr., Holdenville, OK 74848 2017-05-10
1568910297 Alicia Rose Gosey Nurse Practitioner 1011 N Hinkley St, Holdenville, OK 74848 2016-09-11
1649611278 Sooner Health Services IIi, Inc. Home Health 106 N Broadway, Holdenville, OK 74848 2013-07-11
1275852089 Jennifer Michele Gaines Counselor 117 Rogers Drive, Holdenville, OK 74848 2010-05-19
1497975528 Gloria Buenrostro Turner Physical Therapist Therapy Care Outpatient PC, 317 E 8th St, Holdenville, OK 74848 2007-04-30
1215075528 Therapy Care Outpatient PC Physical Therapist 317 E 8th Street, Holdenville, OK 74848 2007-02-01
1285724732 Heritage Village Nursing Center, LLC Skilled Nursing Facility 801 Highway #48, Holdenville, OK 74848 2006-10-13
1861484776 Joseph Omer Lavalley Dentist 300 E Hwy, Holdenville, OK 74848 2005-08-17
1699150052 Stephanie Keesee Nurse Practitioner 201 N Hinckley St, Holdenville, OK 74848 2015-07-28
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518564343 Murray State College Orthopaedic Surgery 1 Murray Campus St, Tishomingo, OK 73460-3137 2020-10-05
1962011999 Upper Extremity Orthopedic Specialists Pllc Orthopaedic Surgery 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 2020-07-27
1891323143 Austin James Cantrell Orthopaedic Surgery 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 2020-03-31
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
1942703665 Northeast Oklahoma Spine and Sports LLC Orthopaedic Surgery 6048a S Sheridan Rd, Tulsa, OK 74145-9212 2018-03-09
1194262097 Essential Integrative Health Pllc Orthopaedic Surgery 9060 Harmony Dr Ste B, Midwest City, OK 73130-6253 2017-01-30
1679023170 Bobby Doyce Anthony Orthopaedic Surgery 2026 S Walking Trail Dr, Stillwater, OK 74074-1358 2016-10-07
1952764169 Doc LLC Orthopaedic Surgery 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 2016-04-04
1306211982 Oklahoma Sports and Orthopedics Institute Pllc Orthopaedic Surgery 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 2015-12-08
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Competitor

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City HOLDENVILLE
Zip Code 74848

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Dataset Information

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.

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