TRIAD SURGERY CENTER, LLC (NPI# 1639566318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639566318 |
| Entity Type | Organization |
| Organization Name | TRIAD SURGERY CENTER, LLC |
| Practice Address |
6140 S Memorial Dr Tulsa OK 74133-1933 |
| Practice Telephone | 9182522020 |
| Practice Fax Number | 9183071983 |
| Mailing Telephone | 9182522020 |
| Mailing Fax Number | 9183071983 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | DR. RYAN CONLEY (PRESIDENT) |
| Authorized Official Telephone | 9182522020 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200705770A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63223 E 290 Rd, Grove, OK 743447552 | 9187863937 | 9187877940 |
| 3131 Military Blvd, Muskogee, OK 744012290 | 9186876600 | |
| 1001 E Wyandotte Ave, Mcalester, OK 745015433 | 9183029232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861625303 | Triad Surgery Center, LLC | Physician Assistant | 16151 Cairnway Dr, Houston, TX 77084-3550 | 2009-09-01 |
| 1083030597 | Triad Surgery Center, LLC | Clinic/Center | 63223 E 290 Rd, Grove, OK 74344-7552 | 2014-03-07 |
| Street Address |
6140 S MEMORIAL DR |
| City | TULSA |
| State | OK |
| Zip Code | 74133-1933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216146 | Brett M Enyart | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2005-06-23 |
| 1326668476 | Heba Hammami | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2020-04-18 |
| 1104303783 | Judson Chevalier | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2018-07-25 |
| 1689197915 | Curtis Alexander Dubois | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2017-07-18 |
| 1295188530 | Bao-tran Walton | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2016-07-21 |
| 1801252259 | Osu Center for Health Sciences | Clinic/Center | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2016-01-14 |
| 1255717815 | Nirav Bhatt | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2015-08-06 |
| 1043624448 | Benjamin Hutton Stephens | Ophthalmology | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2014-06-13 |
| 1821375171 | Elizabeth Ann Bradley-walker | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2011-11-14 |
| 1922312081 | Elizabeth Rosan Batchelor | Optometrist | 6140 S Memorial Dr, Tulsa, OK 74133-1933 | 2010-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| 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 |
| 1487655627 | Union Pines Surgery Center,llc | Clinic/Center | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-10 |
| 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 |
| 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.