OKLAHOMA SURGICAL HOSPITAL, LLC (NPI# 1578749065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578749065 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA SURGICAL HOSPITAL, LLC |
| Practice Address |
2408 E 81st St Ste 900 Tulsa OK 74137-4217 |
| Practice Telephone | 9184775071 |
| Practice Fax Number | 9184775978 |
| Mailing Telephone | 9184775071 |
| Mailing Fax Number | 9184775978 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | RICK FERGUSON (CEO) |
| Authorized Official Telephone | 9184775049 |
| Is Organization Subpart | Y |
| Parent Organization Name | OKLAHOMA SURGICAL HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2350 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100748450B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651857 | Oklahoma Surgical Hospital, LLC | General Acute Care Hospital | 2408 E 81st St, Ste 900, Tulsa, OK 74137-4217 | 2005-06-30 |
| Street Address |
2408 E 81ST ST STE 900 |
| City | TULSA |
| State | OK |
| Zip Code | 74137-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651857 | Oklahoma Surgical Hospital, LLC | General Acute Care Hospital | 2408 E 81st St, Ste 900, Tulsa, OK 74137-4217 | 2005-06-30 |
| 1033732557 | Michele Stern | Radiologic Technologist | 2408 E 81st St, Tulsa, OK 74137-4200 | 2020-05-19 |
| 1548898935 | Matthew Evan Marble | Nurse Practitioner | 2408 E 81st St, Tulsa, OK 74137-4200 | 2020-03-31 |
| 1851715668 | Autumn Thornton | Specialist/Technologist, Other | 2408 E 81st St, Suite 900, Tulsa, OK 74137-4200 | 2014-02-13 |
| 1578986964 | Lauren Michelle Blase | Physical Therapist | 2408 E 81st St, Tulsa, OK 74137-4200 | 2014-01-21 |
| 1124451455 | Tulsa-amg Specialty Hospital, LLC | Long Term Care Hospital | 2408 E 81st St, Ste 2800, Tulsa, OK 74137-4200 | 2013-08-09 |
| 1093083727 | Oncology Development Services | Clinic/Center | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2011-12-08 |
| 1568770105 | Oncology Services LLC | Internal Medicine | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2010-09-16 |
| 1386800019 | Northeast Oklahoma Eye Institute | General Acute Care Hospital | 2408 E 81st St, Suite 600, Tulsa, OK 74137-4200 | 2008-08-01 |
| 1760644587 | South Tulsa Rt Associates LLC | Radiology | 2408 E 81st St, Ste 110, Tulsa, OK 74137-4215 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442292 | Direct Medical Imaging LLC | Radiology | 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 | 2020-06-24 |
| 1386933737 | Robert A Skib Md Pllc | Radiology | 305 S Kenosha Ave, Tulsa, OK 74120-2430 | 2011-04-06 |
| 1639302060 | Stephen Arthur Back | Radiology | 744 W. 9th St., Tulsa, OK 74127 | 2009-09-02 |
| 1427243641 | American Radiology Consultants Pllc | Radiology | 10537 S 92nd East Circle, Tulsa, OK 74133 | 2007-09-11 |
| 1215136361 | Colby James Coulson | Radiology | 7718 E 91st St Ste 220, Tulsa, OK 74133-6064 | 2007-07-17 |
| 1083738199 | Us Radiology Partners of Texas Inc | Radiology | 6129 S Louisville Ave, Tulsa, OK 74136-1502 | 2007-03-16 |
| 1841321668 | George Kamp | Radiology | 6422 S. Indianapolis Place, Tulsa, OK 74136-1421 | 2007-03-07 |
| 1326107624 | James R Webb Jr Md PC | Radiology | 6550 E. 71st Street, Suite 200, Tulsa, OK 74133-2773 | 2006-12-06 |
| 1972675817 | Richard Bliss Williams | Radiology | 2608 E 74th St, Tulsa, OK 74136-5557 | 2006-11-15 |
| 1669405023 | John Edward Kauth | Radiology | 2448 E Admiral Blvd, Tulsa, OK 74110-5323 | 2006-07-09 |
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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.