SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE (NPI# 1720153315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720153315 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE |
| Practice Address |
1504 E Shawnee Circle Tahlequah OK 74464 |
| Practice Telephone | 9184530023 |
| Practice Fax Number | 9184530027 |
| Mailing Telephone | 9184530023 |
| Mailing Fax Number | 9184530027 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | DR. PAUL BIZZLE (OWNER) |
| Authorized Official Telephone | 9184530023 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3240 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | CIGNA GOVERNMENT SERVICES | 0516550001 | 01 |
| OK | RAILROAD MEDICARE | 200033584 | 01 |
| Street Address |
1504 E SHAWNEE CIRCLE |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| 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 |
|---|---|---|---|---|
| 1033211941 | Paul G Bizzle | Orthopaedic Surgery | 327 Hickory Dr, Tahlequah, OK 74464-5115 | 2006-09-01 |
| 1104832179 | Christopher S Deloache | Orthopaedic Surgery | 1373 E. Boone St., Suite 3401, Tahlequah, OK 74464-3234 | 2006-07-31 |
| 1629059803 | Carl Joseph Depaula | Orthopaedic Surgery | 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 2005-11-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.