NORTHEAST OKLAHOMA SPINE AND SPORTS LLC (NPI# 1942703665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942703665 |
| Entity Type | Organization |
| Organization Name | NORTHEAST OKLAHOMA SPINE AND SPORTS LLC |
| Other Organization Name | NORTHEAST OKLAHOMA SPINE AND SPORTS |
| Practice Address |
6048a S Sheridan Rd Tulsa OK 74145-9212 |
| Practice Telephone | 9185185013 |
| Practice Fax Number | 9184177864 |
| Mailing Telephone | 9185185013 |
| Mailing Fax Number | 9184177864 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | DR. MARK BILLY WILLITS (OWNER) |
| Authorized Official Telephone | 9185185013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NORTHEAST OKLAHOMA SPINE AND SPORTS | Other Name - Individual/Organization |
| Street Address |
6048A S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535570 | Seva Precision Labs LLC | Clinical Medical Laboratory | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| 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 |
|---|---|---|---|---|
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1710279724 | Brett Allen Barrick | Orthopaedic Surgery | 2424 E 21st St Ste 320, Tulsa, OK 74114-1722 | 2011-05-09 |
| 1104139328 | Warren Clinic, Inc | Orthopaedic Surgery | 10507 East 91st Street, Suite 450, Tulsa, OK 74133 | 2010-07-16 |
| 1467770610 | Gary Charles Hassmann | Orthopaedic Surgery | 8206 East 74th Court, Tulsa, OK 74133 | 2010-05-12 |
| 1700042892 | Denny E Krout Do Inc | Orthopaedic Surgery | 8523 E 11th St Ste A2, Tulsa, OK 74112-7947 | 2008-07-29 |
| 1306968839 | Northeast Orhtopaedics & Sports Medicine | Orthopaedic Surgery | 6312 E 101st Street, Tulsa, OK 74137 | 2007-04-04 |
| 1528122413 | Clint Justin Basener | Orthopaedic Surgery | 6130 E 81st St, Tulsa, OK 74137 | 2006-12-21 |
| 1518077502 | Eugene Gray Feild II | Orthopaedic Surgery | 6600 South Yale Avenue, Suite 1315, Tulsa, OK 74136 | 2006-08-30 |
| 1619982063 | Tulsa Orthopedic Surgeons | Orthopaedic Surgery | 9709 E 79th St South, Tulsa, OK 74133 | 2006-07-31 |
| 1245244052 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 4502 E. 41st Street, 2g08, Ou Physicians Tulsa-clinical Services, Tulsa, OK 74134-2553 | 2006-07-28 |
| Find all providers in TULSA | ||||
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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.