OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC (NPI# 1487992749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487992749 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Practice Address |
13500 S Tulsa Dr Suite 301 Oklahoma City OK 73170-9704 |
| Mailing Address |
3400 W Tecumseh Rd Suite 101 Norman OK 73072-1810 |
| Practice Telephone | 4057932901 |
| Practice Fax Number | 4053606769 |
| Mailing Telephone | 4053606764 |
| Mailing Fax Number | 4053606769 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | MR. BRANDON L PENICK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4059287992 |
| Is Organization Subpart | Y |
| Parent Organization Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211982 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 | 2015-12-08 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1043562119 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3400 W Tecumseh Rd, Ste 101, Norman, OK 73072-1810 | 2012-10-12 |
| 1710239645 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 520 S Telephone Rd, Ste 207, Moore, OK 73160-5423 | 2012-10-02 |
| 1033461975 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2012-10-02 |
| 1609128537 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 608 Nw 9th St, Ste 6000, Oklahoma City, OK 73102-1068 | 2012-10-02 |
| 1497007322 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2012-10-02 |
| 1578658035 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 2006-10-03 |
| Street Address |
13500 S TULSA DR SUITE 301 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699747600 | Ram A Singh | Obstetrics & Gynecology | 13500 S Tulsa Dr, Suite 200, Oklahoma City, OK 73170-9719 | 2006-02-03 |
| 1992129381 | Melissa Boothe | Physician Assistant | 13500 S Tulsa Dr, Oklahoma City, OK 73170-9719 | 2014-02-06 |
| 1154687010 | Jenney Z Qin | Family Medicine | 13500 S Tulsa Dr, Suite 200, Oklahoma City, OK 73170-9719 | 2012-04-04 |
| 1265644165 | Rose M Trigg | General Practice | 13500 S Tulsa Dr, Suite 200, Oklahoma City, OK 73170-9719 | 2007-05-04 |
| 1841242880 | Indira Singh | Pediatrics | 13500 S Tulsa Dr, Suite 200, Oklahoma City, OK 73170-9719 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1144882325 | Focused Adult LLC | Clinic/Center | 5900 Mosteller Dr Unit 3, Oklahoma City, OK 73112-4640 | 2019-07-08 |
| 1518460047 | Revive Clinic LLC | Clinic/Center | 13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309 | 2018-03-12 |
| 1881144095 | Osu Center for Health Sciences | Clinic/Center | 9821 S May Ave, Suite B, Oklahoma City, OK 73159-7042 | 2016-10-12 |
| 1760884886 | Oklahoma Neurodiagnostics, LLC | Clinic/Center | 5350 S Western Ave Ste 732, Oklahoma City, OK 73109-4535 | 2014-09-19 |
| 1396151171 | Board of Regents of The Univ of Okla-stephenson Specialty Pharmacy | Clinic/Center | 800 Ne 10th St Ste 1044, Oklahoma City, OK 73104-5418 | 2014-07-01 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1932462603 | Precision Health Services Inc/urgent Care | Clinic/Center | 7250 Nw Expressway Ste 202, Oklahoma City, OK 73132-1522 | 2012-06-19 |
| 1578855409 | Anibal Avila Md Professional Corporation PC | Clinic/Center | 1111 Sw 44th St, Oklahoma City, OK 73109-3601 | 2011-05-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
Please comment or provide details below to improve the information on OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC.
| 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.