OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC (NPI# 1497007322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497007322 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC |
| Practice Address |
2220 W Iowa Ave Chickasha OK 73018-2738 |
| Mailing Address |
3400 W Tecumseh Rd Ste 101 Norman OK 73072-1810 |
| Practice Telephone | 4053606764 |
| Practice Fax Number | 4053606769 |
| Mailing Telephone | 4053606764 |
| Mailing Fax Number | 4053606769 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | BRANDON PENICK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 4053606764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| 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 |
| 1487992749 | Oklahoma Sports and Orthopedics Institute Pllc | Clinic/Center | 13500 S Tulsa Dr, Suite 301, Oklahoma City, OK 73170-9704 | 2013-01-22 |
| 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 |
| 1578658035 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3400 W Tecumseh Rd, Suite 101, Norman, OK 73072-1810 | 2006-10-03 |
| Street Address |
2220 W IOWA AVE |
| City | CHICKASHA |
| State | OK |
| Zip Code | 73018-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169198 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-07-26 |
| 1487042073 | William Stewart Jr. | Nurse Anesthetist, Certified Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2015-01-05 |
| 1316211600 | Shannon Renee Brady-bardsher | Nurse Practitioner | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2012-03-03 |
| 1912216052 | Daniel Michael Whitmill | Nurse Anesthetist, Certified Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2010-10-06 |
| 1063749729 | Chickasha Hospitalist Services Pllc | Emergency Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2009-11-17 |
| 1245498781 | Bahiru Belachew Mekete | Internal Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2008-05-31 |
| 1114142676 | Joe T. Bledose | Internal Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-04-17 |
| 1194847129 | Cynthia D. Wilcox | Dietitian, Registered | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-04-03 |
| 1992854590 | Grady Memorial Hospital | General Acute Care Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2007-01-10 |
| 1255418596 | Dennis Reed Mcneely | Emergency Medicine | 2220 W Iowa Ave, Chickasha, OK 73018-2738 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
| 1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
| 1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
| 1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
| 1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
| 1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
| 1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
| 1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
| 1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
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| 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 |
|---|---|---|---|---|
| 1992780498 | James E. Winslow II | Orthopaedic Surgery | 3309 W Iowa Ave, Chickasha, OK 73018-6024 | 2005-12-07 |
| 1659302115 | Grady Memorial Hospital | Orthopaedic Surgery | 2100 W Iowa Ave, Chickasha, OK 73018-2736 | 2006-07-05 |
| 1750364022 | Lee Vanderlugt | Orthopaedic Surgery | 2222 W Iowa Ave, Chickasha, OK 73018-2738 | 2005-11-21 |
| 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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| 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.