UPPER EXTREMITY ORTHOPEDIC SPECIALISTS PLLC (NPI# 1962011999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962011999 |
| Entity Type | Organization |
| Organization Name | UPPER EXTREMITY ORTHOPEDIC SPECIALISTS PLLC |
| Practice Address |
2448 E 81st St Ste 200 Tulsa OK 74137-4250 |
| Mailing Address |
2624 E 74th Pl Tulsa OK 74136-5555 |
| Practice Telephone | 9189002520 |
| Mailing Telephone | 9186339439 |
| Mailing Fax Number | 9184942093 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | BRENT C NOSSAMAN (OWNER) |
| Authorized Official Telephone | 9186339439 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
2448 E 81ST ST STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74137-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1245256486 | Broken Arrow Orthopedics Inc | Orthopaedic Surgery | 10507 E 91st St Ste 350, Tulsa, OK 74133-5598 | 2006-07-14 |
| 1730120155 | Jean-louis Gabriel | Orthopaedic Surgery | 10507 E 91st St Ste 450, Tulsa, OK 74133-5515 | 2006-06-09 |
| 1558771618 | Christopher Treat | Orthopaedic Surgery | 1809 E 13th St Ste 402, Tulsa, OK 74104-4431 | 2014-04-29 |
| 1568784957 | Jessica Rey Childe | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-02-25 |
| 1407002694 | Paul A. Howard, M.d., P.C. | Orthopaedic Surgery | 6048 S Sheridan Rd, Tulsa, OK 74145-9212 | 2008-08-07 |
| 1245427558 | St. John Physicians, Inc. | Orthopaedic Surgery | 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 | 2007-10-01 |
| 1649462375 | William Earl Harrison Jr. | Orthopaedic Surgery | 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 | 2007-08-16 |
| 1255373122 | Garrett Edward Watts | Orthopaedic Surgery | 10507 E 91st St, Ste 350, Tulsa, OK 74133-5598 | 2006-06-12 |
| 1336194406 | St John Physicians Inc | Orthopaedic Surgery | 1923 S Utica Ave, Davis Tower 200, Tulsa, OK 74104-6520 | 2006-05-24 |
| 1003816265 | James F Bischoff | Orthopaedic Surgery | 6475 S Yale Ave, Ste. 301, Tulsa, OK 74136-7816 | 2005-07-28 |
| 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.