ORTHOPEDIC CENTER OF MUSKOGEE (NPI# 1316010150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316010150 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC CENTER OF MUSKOGEE |
| Practice Address |
3900 West Broadway Muskogee OK 74401 |
| Practice Telephone | 9186866600 |
| Practice Fax Number | 9186866601 |
| Mailing Telephone | 9186866600 |
| Mailing Fax Number | 9186866601 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | CLINT FOREST KIRK (DOCTOR) |
| Authorized Official Telephone | 9186866600 |
| 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 |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | P00007143 | 01 |
| Street Address |
3900 WEST BROADWAY |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1962412569 | Gene L Muse | Orthopaedic Surgery | 4200 W Memorial Road, Ste 1001, Oklahoma City, OK 73120 | 2006-08-08 |
| 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 | ||||
Please comment or provide details below to improve the information on ORTHOPEDIC CENTER OF MUSKOGEE.
| 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.