SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC (NPI# 1659627289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659627289 |
Entity Type | Organization |
Organization Name | SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC |
Practice Address |
2506 North Harrison Avenue Shawnee OK 74804-4022 |
Mailing Address |
8100 S Walker Ave Building A Oklahoma City OK 73139-9402 |
Practice Telephone | 4053959050 |
Practice Fax Number | 4056314964 |
Mailing Telephone | 4056324468 |
Mailing Fax Number | 4056314964 |
Enumeration Date | 2012-08-01 |
Last Update Date | 2020-09-21 |
Authorized Official Name | JAMES DAVID MOORE (ADMINISTRATOR) |
Authorized Official Telephone | 4056324468 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538544986 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1109 N. Glenn English, Cordell, OK 73632 | 2015-07-28 |
1881079226 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1900 Country Club Road, El Reno, OK 73036 | 2015-07-28 |
1437405081 | Southwest Orthopaedic Specialists, Pllc | Surgery | 1805 Commons, Suite C, Yukon, OK 73099-9519 | 2012-08-01 |
1285980821 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 3130 Hayes Ave, Clinton, OK 73601-3601 | 2012-08-01 |
1073998415 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2015-07-28 |
1487058996 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 625 N Monte Vista St, Ada, OK 74820-4613 | 2014-10-13 |
1558761270 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2014-08-29 |
1477970986 | Southwest Orthopaedic Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 13 West Main Street, Carnegie, OK 73015 | 2014-03-21 |
1598191371 | Southwest Orthopaedic Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 13301 N Meridian Ave, Building 600, Oklahoma City, OK 73120-9369 | 2013-09-24 |
1457607004 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 2403 W Wrangler Blvd, Ste A, Seminole, OK 74868-1900 | 2012-08-01 |
Street Address |
2506 NORTH HARRISON AVENUE |
City | SHAWNEE |
State | OK |
Zip Code | 74804-4022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
Find all providers in zip 74804 |
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 |
---|---|---|---|---|
1033461975 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 3200 Medical Park Dr, Shawnee, OK 74804-5014 | 2012-10-02 |
1023364718 | Midwest City Hma Physician Management, LLC | Orthopaedic Surgery | 3700 N Kickapoo Ave, Suite 104, Shawnee, OK 74804-1707 | 2012-07-31 |
1033315742 | Matthew Duane Copple | Orthopaedic Surgery | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2007-06-21 |
1063448736 | Deborah Sue Mcalister | Orthopaedic Surgery | 2801 Saratoga St, Shawnee, OK 74804-1739 | 2006-06-24 |
1427005503 | Shrinivas Manohar Waingankar | Orthopaedic Surgery | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2006-05-27 |
1699741215 | Thomas Michael Dye | Orthopaedic Surgery | 3315 Kethley Rd, Shawnee, OK 74804-9638 | 2006-02-24 |
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.