SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC


Address: 2506 North Harrison Avenue, Shawnee, OK 74804-4022
Phone: 4053959050

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 2506 NORTH HARRISON AVENUE
City SHAWNEE
State OK
Zip Code 74804-4022

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City SHAWNEE
Zip Code 74804

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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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