SURGERY CENTER OF OKLAHOMA (NPI# 1124158704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124158704 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF OKLAHOMA |
| Practice Address |
9500 Broadway Ext Oklahoma City OK 73114-7425 |
| Mailing Address |
Po Box 268874 Oklahoma City OK 73126-8874 |
| Practice Telephone | 4054750600 |
| Practice Fax Number | 4054750660 |
| Mailing Telephone | 4054750600 |
| Mailing Fax Number | 4054750660 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEITH SMITH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4054750600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0036 | OK | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SURGERY CENTER OF OKLAHOMA, L.P. | C/o, One Healthsouth Pkwy, Birmingham, AL 35243 |
| Street Address |
9500 BROADWAY EXT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-7425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057577 | Larry Frederick Patrick | Nurse Anesthetist, Certified Registered | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2005-10-20 |
| 1285277509 | Edwards Surgical Services, LLC | Registered Nurse | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2019-10-18 |
| 1346367323 | Ray D Dickerson | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-23 |
| 1013034008 | Steven J Lantier | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-23 |
| 1932239258 | Metro Anesthesia Services, LLP | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-03-06 |
| 1689719882 | George Keith Smith | Anesthesiology | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-02-21 |
| 1124176672 | Bobby Ray Fowler | Registered Nurse | 9500 Broadway Ext, Oklahoma City, OK 73114-7425 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1326379967 | Weir Asc, LLC | Clinic/Center | 9913 S May Avenue, Oklahoma City, OK 73159-7900 | 2010-01-21 |
| 1467659250 | Joe Dan Metcalf | Clinic/Center | 12400 Saint Andrews Dr, Oklahoma City, OK 73120-8601 | 2007-06-27 |
| 1750597449 | Oklahoma Lithotripter Associates, L.c. | Clinic/Center | 5401 N Portland Ave Ste 650, Oklahoma City, OK 73112-2081 | 2007-05-16 |
| 1083837926 | Heritage Eye Surgery Center, LLC | Clinic/Center | 6922 S. Western, Suite 102, Oklahoma City, OK 73139-1890 | 2007-04-10 |
| 1487750238 | Southwest Ambulatory Surgery Center, LLC | Clinic/Center | 8125 S. Walker Avenue, Oklahoma City, OK 73139-9476 | 2006-09-16 |
| 1043253263 | Ddsi South Aec LLC | Clinic/Center | 4201 South Western, Ste. 4000, Oklahoma City, OK 73109-3410 | 2006-06-14 |
| 1093771909 | Foundation Surgery Affiliate of Northwest Oklaho | Clinic/Center | 14000 N. Portland Avenue, Suite 100, Oklahoma City, OK 73134-4004 | 2006-04-21 |
| 1801856471 | St Anthony North Ambulatory Surgical Center L L C | Clinic/Center | 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 | 2006-03-27 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on SURGERY CENTER OF OKLAHOMA.
| 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.