OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC (NPI# 1114991304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114991304 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC |
| Practice Address |
3110 Sw 89th St Suite 200c Oklahoma City OK 73159-7919 |
| Mailing Address |
Po Box 890358 Oklahoma City OK 73189-0358 |
| Practice Telephone | 4057592663 |
| Practice Fax Number | 4057593827 |
| Mailing Telephone | 4057592663 |
| Mailing Fax Number | 4057593827 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-11-17 |
| Authorized Official Name | DR. MICHAEL SEAN OBRIEN (PRESIDENT) |
| Authorized Official Telephone | 4057592663 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
3481 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200064010A | 05 |
| Street Address |
3110 SW 89TH ST SUITE 200C |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73159-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083686422 | Darryl D Robinson | Physical Medicine & Rehabilitation | 3110 Sw 89th St, Suite 102, Oklahoma City, OK 73159-7920 | 2006-02-01 |
| 1841732799 | Eih Physicians, Pllc | Orthopaedic Surgery | 3110 Sw 89th St, Ste 200e, Oklahoma City, OK 73159-7920 | 2016-11-09 |
| 1619424595 | John B. Hughes, D.o. | Orthopaedic Surgery | 3110 Sw 89th St, Suite 200, Oklahoma City, OK 73159-7920 | 2016-09-08 |
| 1700339009 | Blakely Kecia Berry | Dietitian, Registered | 3110 Sw 89th St, Ste 200e, Oklahoma City, OK 73159-7920 | 2016-08-03 |
| 1861854408 | K&r Medical Solutions | Health Maintenance Organization | 3110 Sw 89th St, 102-c, Oklahoma City, OK 73159-7920 | 2016-03-23 |
| 1932574241 | Oklahoma Pain Care LLC | Orthopaedic Surgery | 3110 Sw 89th St, Suite 200d-1, Oklahoma City, OK 73159-7920 | 2015-12-11 |
| 1790174159 | Osu Center for Health Sciences | Clinic/Center | 3110 Sw 89th St, Suite 200c, Oklahoma City, OK 73159-7920 | 2015-01-22 |
| 1134466857 | Kaylee Denise Heim | Nurse Practitioner | 3110 Sw 89th St, Suite 200b, Oklahoma City, OK 73159 | 2013-01-15 |
| 1437467503 | Capital Medical Solutions,pllc | Physical Medicine & Rehabilitation | 3110 Sw 89th St, Suite 102 C, Oklahoma City, OK 73159-7920 | 2010-09-22 |
| 1023240538 | Oklahoma Spine Surgery & Orthopedics | Orthopaedic Surgery | 3110 Sw 89th St, 102, Oklahoma City, OK 73159-7920 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
| 1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
| 1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
| 1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
| 1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
| Find all providers in zip 73159 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962412569 | Gene L Muse | Orthopaedic Surgery | 4200 W Memorial Road, Ste 1001, Oklahoma City, OK 73120 | 2006-08-08 |
| 1447648092 | Midtown Orthopedics and Sports Medicine LLC | Orthopaedic Surgery | 400 Nw 13th St, Oklahoma City, OK 73103-3711 | 2015-01-06 |
| 1275672123 | Timothy Michael Geib | Orthopaedic Surgery | 13401 N. Western Ave., Ste. 301, Oklahoma City, OK 73114 | 2007-02-06 |
| 1629041801 | Douglas Jay Rowles | Orthopaedic Surgery | 920 Stanton L Young Blvd, Suite Wp 1380, Oklahoma City, OK 73104-5036 | 2006-02-09 |
| 1588660724 | Radhakrishna Kamath | Orthopaedic Surgery | 1044 Sw 44th St, Ste 600, Oklahoma City, OK 73109-3611 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942659982 | Orthopedic Solutions Pllc | Orthopaedic Surgery | 101 S Saints Blvd, Suite 101, Edmond, OK 73034-3081 | 2016-06-09 |
| 1548620529 | Ortho Plus Holdings LLC | Orthopaedic Surgery | 1730 Shedeck Parkway, Ste 105, Yukon, OK 73099 | 2016-03-03 |
| 1962861625 | Ortho Plus, LLC | Orthopaedic Surgery | 941 W I 35 Frontage Rd, Ste A-d, Edmond, OK 73034-7364 | 2016-02-23 |
| 1396076022 | Small Properties Lc | Orthopaedic Surgery | 2007 N Commerce St Ste 201, Ardmore, OK 73401-1394 | 2010-01-20 |
| 1437393931 | Neal Charles Small | Orthopaedic Surgery | 2007 N Commerce St, Suite 201, Ardmore, OK 73401-1268 | 2009-04-28 |
| 1558415240 | Oklahoma Orthopedics & Sports Medicine | Orthopaedic Surgery | 1533 N Harrison St, Shawnee, OK 74804-4011 | 2007-01-22 |
| 1316010150 | Orthopedic Center of Muskogee | Orthopaedic Surgery | 3900 West Broadway, Muskogee, OK 74401 | 2006-11-17 |
| 1891709747 | James Clarke Mayoza | Orthopaedic Surgery | 6122 E 61st St, Tulsa, OK 74136-2117 | 2006-07-28 |
| 1326049719 | Brett C Barnes | Orthopaedic Surgery | 110 Nw 31st St Fl 2, Lawton, OK 73505-6100 | 2005-08-09 |
| 1194198192 | Northeastern State University | Orthopaedic Surgery | 603 N Grand Ave, Tahlequah, OK 74464-2302 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73159 |
Please comment or provide details below to improve the information on OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC.
| 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.