OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.


Address: 5401 N Portland Ave Ste 650, Oklahoma City, OK 73112-2081
Phone: 4056044160

OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C. (NPI# 1750597449) 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) 1750597449
Entity Type Organization
Organization Name OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.
Other Organization Name OKLAHOMA KIDNEY STONE CENTER
Practice Address 5401 N Portland Ave Ste 650
Oklahoma City
OK 73112-2081
Mailing Address 5401 N Portland Ave Ste 640
Oklahoma City
OK 73112-2130
Practice Telephone 4056044160
Practice Fax Number 4056044053
Mailing Telephone (405) 604-4160
Mailing Fax Number 4056044053
Enumeration Date 2007-05-16
Last Update Date 2017-05-22
Authorized Official Name STEWART C BURCHETT (EXECUTIVE DIR)
Authorized Official Telephone 4056044183
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
0086 OK Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Oklahoma Kidney Stone Center Doing Business As Name - Organization

Office Location

Street Address 5401 N PORTLAND AVE STE 650
City OKLAHOMA CITY
State OK
Zip Code 73112-2081

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972145886 Crystopher J Long Physical Therapist Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 2019-10-11
1700448974 Joy Healthcare Services of Okc LLC Home Health 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 2019-07-08
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
1679938922 Portland Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 5501 N Porland Ave, Oklahoma City, OK 73112 2015-12-30
Find all providers in zip 73112

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 city

NPI Name Taxonomy Address Enumeration
1023586252 Mercy Hospital Oklahoma City Outpatient Surgery LLC Clinic/Center 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 2018-11-06
1326335811 Laser Spine Surgery Center of Oklahoma, LLC Clinic/Center 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 2011-07-05
1326379967 Weir Asc, LLC Clinic/Center 9913 S May Avenue, Oklahoma City, OK 73159-7900 2010-01-21
1467659250 Joe Dan Metcalf Clinic/Center 12400 Saint Andrews Dr, Oklahoma City, OK 73120-8601 2007-06-27
1083837926 Heritage Eye Surgery Center, LLC Clinic/Center 6922 S. Western, Suite 102, Oklahoma City, OK 73139-1890 2007-04-10
1487750238 Southwest Ambulatory Surgery Center, LLC Clinic/Center 8125 S. Walker Avenue, Oklahoma City, OK 73139-9476 2006-09-16
1043253263 Ddsi South Aec LLC Clinic/Center 4201 South Western, Ste. 4000, Oklahoma City, OK 73109-3410 2006-06-14
1093771909 Foundation Surgery Affiliate of Northwest Oklaho Clinic/Center 14000 N. Portland Avenue, Suite 100, Oklahoma City, OK 73134-4004 2006-04-21
1801856471 St Anthony North Ambulatory Surgical Center L L C Clinic/Center 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 2006-03-27
1306827464 Oklahoma Surgery and Urology Center Clinic/Center 5401 N Portland Ave, Suite 100, Oklahoma City, OK 73112-2082 2005-11-07
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Competitor

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City OKLAHOMA CITY
Zip Code 73112

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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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