OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC


Address: 400 Fairview Ave, Suite 50, Ponca City, OK 74601-1920
Phone: 5807620695

OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC (NPI# 1659337194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659337194
Entity Type Organization
Organization Name OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC
Practice Address 400 Fairview Ave
Suite 50
Ponca City
OK 74601-1920
Practice Telephone 5807620695
Practice Fax Number 5807659406
Mailing Telephone 5807620695
Mailing Fax Number 5807659406
Enumeration Date 2006-04-25
Last Update Date 2010-11-01
Authorized Official Name MRS. STEFFI MOON COWAN (ADMINISTRATOR)
Authorized Official Telephone 5807620695
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
0021 OK Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK 200037990A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992905913 Outpatient Surgical Center of Ponca City, LLC Nurse Anesthetist, Certified Registered 400 Fairview Ave, Ste 50, Ponca City, OK 74601-1920 2007-07-18

Office Location

Street Address 400 FAIRVIEW AVE
SUITE 50
City PONCA CITY
State OK
Zip Code 74601-1920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285639781 Pamela J Poland Ophthalmology 400 Fairview Ave, Ste 18, Ponca City, OK 74601-1920 2005-06-20
1477939585 Aaron T. Buchanan, Dds Pllc Dentist 400 Fairview Ave, Bldg 1, Ste 2, Ponca City, OK 74601-1920 2015-07-31
1316352610 Aaron Buchanan Dentist 400 Fairview Ave, Suite #2, Ponca City, OK 74601-1920 2014-06-25
1447663224 Jd Stewart Companies Pllc Audiologist-Hearing Aid Fitter 400 Fairview Ave, Suite 16 Doctors' Park, Ponca City, OK 74601-1920 2014-06-09
1750793261 Ryan A Johnson Dds Pllc Dentist 400 Fairview Ave, Suite 6, Ponca City, OK 74601-1920 2014-06-02
1114292596 Dsk Medical Group, PC Clinic/Center 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601-1920 2012-03-18
1164698411 Wesley E. Nipper Dds PC Health Maintenance Organization 400 Fairview Ave, Suite 7, Ponca City, OK 74601-1920 2008-05-07
1891969325 S V Vaidya Md PC Psychiatry & Neurology 400 Fairview Ave, Suite 10, Ponca City, OK 74601-1920 2008-04-16
1508030040 A F Vaidya Md PC Psychiatry & Neurology 400 Fairview Ave, Suite 10, Ponca City, OK 74601-1920 2008-04-16
1841477759 Thomas M Carter Md, Inc. Eyewear Supplier (Equipment, not the service) 400 Fairview Ave, Suite 21, Ponca City, OK 74601 2008-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245867258 Triad Health Systems LLC Family Medicine 2703 N 14th St, Ponca City, OK 74601 2020-03-27
1679096952 Gabrielle Evangeline Barnes Case Manager/Care Coordinator 620 W. Grand, Ponca City, OK 74601 2017-07-19
1942722889 Kimbra Leigh Anderson Case Manager/Care Coordinator 1500 N. 6th, Ponca City, OK 74601 2017-07-12
1033631965 Kayla Patten Case Manager/Care Coordinator 620 W Grand, Ponca, OK 74601 2017-07-12
1639601859 Affordable Dental Dentist 1618 N 5th St Ste 4, Ponca City, OK 74601 2017-03-28
1447627237 Harold Jason Laughlin Jr. Chiropractor 222 E. Grand, Ste. 309, Ponca City, OK 74601 2015-08-27
1578947875 Jessica James Social Worker 1500 N 6th, Ponca City, OK 74601 2015-07-16
1639565153 Ryian Reyes Point of Service 2101 N 14th, Suite 134, Ponca City, OK 74601 2015-04-10
1003253006 Proving Faithful Investments Inc. Home Health 205 W. Hartford Avenue #112, Ponca City, OK 74601 2013-05-30
1427365899 Quint Allen Whitefield Dentist 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 2010-09-08
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508404922 Ortho Central Clinic/Center 3400 W Tecumseh Rd Ste 301, Norman, OK 73072-1812 2019-12-16
1972156842 Norman Regional Hospital Authority Clinic/Center 1125 N Porter Ave Ste 304, Norman, OK 73071-6443 2019-07-19
1508419474 Norman Regional Hospital Authority Clinic/Center 3101 W Tecumseh Rd Ste 100, Norman, OK 73072-1816 2019-07-19
1023586252 Mercy Hospital Oklahoma City Outpatient Surgery LLC Clinic/Center 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 2018-11-06
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
1770968810 Premier Anesthesia Management Inc Clinic/Center 19236 E Twin Creeks Dr, Owasso, OK 74055 2015-07-29
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
1326335811 Laser Spine Surgery Center of Oklahoma, LLC Clinic/Center 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 2011-07-05
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Competitor

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City PONCA CITY
Zip Code 74601

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Dataset Information

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.

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