SOUTHWESTERN OKLAHOMA STATE UNIVERSITY (NPI# 1235631128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235631128 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN OKLAHOMA STATE UNIVERSITY |
| Other Organization Name | SWOSU SPORTS MEDICINE |
| Practice Address |
100 Campus Dr Weatherford OK 73096-3001 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| 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 |
|---|---|
| SWOSU Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWESTERN OKLAHOMA STATE UNIVERSITY | 100 Campus Dr, Weatherford, OK 73096-3001 |
| Street Address |
100 CAMPUS DR |
| City | WEATHERFORD |
| State | OK |
| Zip Code | 73096-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857533 | Tracey Marie Oliver | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-25 |
| 1386271146 | Rachel Elizabeth Cook | Pharmacy Technician | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-23 |
| 1508496803 | Brianne N Kirchgessner | Student in an Organized Health Care Education/Training Program | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-01-25 |
| 1750928768 | Morgan Brook Corona | Music Therapist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-12-09 |
| 1518512235 | Tatum Jones | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-08-08 |
| 1568022861 | Sarah Yount | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-06-18 |
| 1871068486 | Brianna Neely | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-10-10 |
| 1235631623 | Joseph Leven | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-03-01 |
| 1568979623 | Brandon Joe Pounds | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-01-10 |
| 1639525082 | Catherine Schantz | Specialist/Technologist | 100 Campus Dr, Athletic Training, Weatherford, OK 73096-3001 | 2016-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433170 | Weatherford Hospital Authority | Clinic/Center | 1315 N Washington, Weatherford, OK 73096 | 2018-07-05 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1972962066 | Shayli Hill | Physical Therapist | 3730 Legacy Dr, Weatherford, OK 73096 | 2016-02-17 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1881942654 | Weatherford Dental Care Pllc | Dentist | 1325 N. Washington Street, Weatherford, OK 73096 | 2012-08-27 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1326259797 | Amy Michelle Estes IIi | Case Manager/Care Coordinator | 90 North 31st., Clinton, OK 73096 | 2007-05-25 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
| Find all providers in zip 73096 | ||||
| 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 |
|---|---|---|---|---|
| 1396841698 | Merlin G Anderson | Orthopaedic Surgery | 3509 Cliff View Loop, Weatherford, TX 76087-2223 | 2006-09-15 |
| 1447367925 | Donal B Rose | Orthopaedic Surgery | 924 Foster Ln, Weatherford, TX 76086-5714 | 2006-08-23 |
| 1144281296 | Gregory G. Schwartz | Orthopaedic Surgery | 750 Eureka St, Suite D, Weatherford, TX 76086-6521 | 2006-03-29 |
| 1518928654 | Ricky Joe Ford | Orthopaedic Surgery | 925 Hilltop Dr, Ste 101, Weatherford, TX 76086-5889 | 2006-03-29 |
| 1295760833 | Greg G. Schwartz, M.d., P.a. | Orthopaedic Surgery | 750 Eureka St, Suite D, Weatherford, TX 76086-6521 | 2006-07-12 |
| 1235164708 | R J Ford Md Pa | Orthopaedic Surgery | 925 Hilltop Dr, Ste 101, Weatherford, TX 76086-5889 | 2006-07-12 |
| 1336109982 | Thomas C Binzer | Orthopaedic Surgery | 907 Eureka St, Suite A, Weatherford, TX 76086-5880 | 2006-03-27 |
| 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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| City | WEATHERFORD |
| Zip Code | 73096 |
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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.