Organization Active NPI

Southwestern Surgical Affiliates, LLC

  • Orthopaedic Surgery Physician
  • Lawton, OK
National Provider Identifier
1013169531
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTHWESTERN SURGICAL AFFILIATES, LLC
Practice address
5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone
(580) 531-4701
NPI assigned
Oct 15, 2008
Last updated
Jun 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Davis W Turner
Title
Vice President
Phone
(615) 844-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

5602 SW Lee Blvd
Lawton, OK 73505-9635

Mailing address

5602 SW Lee Blvd
Lawton, OK 73505-9635
Phone (580) 531-4701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090218000457 OK Part B Supplier - Clinic/Group Practice 0941365308 Receives reassigned benefits from 72 practitioners
Practice locations: Lawton, OK; Walters, OK

National Provider Directory

National Provider Directory

Locations

1202 SW 67th St
Ste 2
Lawton, OK 73505
Phone (580) 250-0324

4202 SW Lee Blvd
Ste Ba
Lawton, OK 73505

5602 SW Lee Blvd
Ste 200
Lawton, OK 73505

5602 SW Lee Blvd
Ste 201
Lawton, OK 73505

5602 SW Lee Blvd
Ste 310
Lawton, OK 73505

5604 SW Lee Blvd
Ste 200
Lawton, OK 73505
Phone (580) 510-3018

5604 SW Lee Blvd
Ste 303
Lawton, OK 73505

5606 SW Lee Blvd
Ste 203
Lawton, OK 73505
Phone (580) 531-6469

5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465

5606 SW Lee Blvd
Ste 301
Lawton, OK 73505
Phone (580) 510-3018

5606 SW Lee Blvd
Ste 304AB
Lawton, OK 73505

6215 W Gore Blvd
Lawton, OK 73505
Phone (580) 536-7711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1013169531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059635",
            "telephone_number": "580-531-4701",
            "fax_number": "580-531-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059635",
            "telephone_number": "580-531-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN SURGICAL AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-844-9800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.