MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC (NPI# 1659413649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659413649 |
| Entity Type | Organization |
| Organization Name | MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC |
| Practice Address |
9600 Broadway Ext Oklahoma City OK 73114-7408 |
| Practice Telephone | 4054862100 |
| Practice Fax Number | 4054862504 |
| Mailing Telephone | 4054862100 |
| Mailing Fax Number | 4054862504 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-09-19 |
| Authorized Official Name | MARK GALLIART (CEO) |
| Authorized Official Telephone | 4054862100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
2369 | OK | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
2369 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2369 | OK | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2369 | OK | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
2369 | OK | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2369 | OK | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 2369 | OK | Podiatric Medicine & Surgery Service Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | 2369 | OK | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 2369 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207X00000X | Orthopaedic Surgery | 2369 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200069370B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538213764 | Mcbride Clinic Orthopedic Hospital, LLC | Rehabilitation Unit | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2007-01-23 |
| 1932145505 | Mcbride Clinic Orthopedic Hospital, LLC | General Acute Care Hospital | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2006-06-21 |
| Street Address |
9600 BROADWAY EXT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218381 | Paul Alan Kammerlocher | Orthopaedic Surgery | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2005-07-11 |
| 1972117190 | Christopher Carlton | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2020-09-04 |
| 1831732155 | Ashley Brooke Edwards | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-10-18 |
| 1265082945 | Heather Elizabeth Lovett | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-09-16 |
| 1548816515 | Alexia Mcwaters | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-08-14 |
| 1215583786 | Matthew Griffin Merrill | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-08-12 |
| 1326538935 | Leah Coyle | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2018-05-18 |
| 1891296208 | Kimberly Tennille Felix | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2018-02-22 |
| 1578082731 | Daniel Shean Smith | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2017-09-19 |
| 1730619545 | Samuel Martinez-morales | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| 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 |
|---|---|---|---|---|
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1558623934 | Brian Alan Chenoweth | Orthopaedic Surgery | 825 Ne 10th St # 1c, Oklahoma City, OK 73104-5417 | 2012-06-12 |
| 1295000560 | Keivan Abtahi | Orthopaedic Surgery | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112 | 2012-03-19 |
| 1639455975 | Ralph Edward Payne Jr. | Orthopaedic Surgery | 12604 Maple Ridge Rd., Oklahoma City, OK 73120 | 2011-11-01 |
| 1972807667 | Ghazi M. Rayan, Md, Inc. | Orthopaedic Surgery | 3366 Nw Expressway Ste 700, Oklahoma City, OK 73112-4439 | 2011-01-10 |
| 1225292444 | Ryan Lee Nelson | Orthopaedic Surgery | 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 | 2008-07-16 |
| 1205096369 | Kevin T Grosshans | Orthopaedic Surgery | 920 Stanton L Young Blvd # 1380, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC.
| 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.