UNION PINES SURGERY CENTER,LLC (NPI# 1487655627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487655627 |
| Entity Type | Organization |
| Organization Name | UNION PINES SURGERY CENTER,LLC |
| Practice Address |
4800 S 109th E Ave Tulsa OK 74146 |
| Practice Telephone | 9187422502 |
| Practice Fax Number | 9187459750 |
| Mailing Telephone | 9187422502 |
| Mailing Fax Number | 9187459750 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | DR. SCOTT DUNITZ (PRESIDENT) |
| Authorized Official Telephone | 9187422502 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0015 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | AETNA | 8471141 | 01 |
| OK | BC/BS | 000371001 002 | 01 |
| Street Address |
4800 S 109TH E AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969797 | Becky R Barnes | Nurse Anesthetist, Certified Registered | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-16 |
| 1194717249 | Nancy A Wallace | Nurse Anesthetist, Certified Registered | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-16 |
| 1720080401 | Sooner Anesthesia Services LLC | Anesthesiology | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-12 |
| 1508868142 | Patricia A Case | Nurse Anesthetist, Certified Registered | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1912090218 | Tulsa Hand Surgery Center LLC | Clinic/Center | 2000 S Wheeling, Suite 910, Tulsa, OK 74104-5647 | 2006-10-02 |
| 1417916800 | Tulsa Ok Endoscopy Asc LLC | Clinic/Center | 4200 E Skelly Dr, Suite 100, Tulsa, OK 74135-3247 | 2006-03-22 |
| 1114990736 | Tulsa Ok Ophthalmology Asc LLC | Clinic/Center | 7191 S Yale Ave, Tulsa, OK 74136-6326 | 2006-02-13 |
| 1205452521 | Seva Surgery Center Oklahoma LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2020-06-23 |
| 1174084982 | South Tulsa Asc, LLC | Clinic/Center | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2019-03-26 |
| 1669956934 | Ambulatory Procedure Center | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2018-09-21 |
| Find all providers in TULSA | ||||
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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.