Oklahoma Surgical Group, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OKLAHOMA SURGICAL GROUP, PLLC

Practice address

401 SW 80TH St Ste 101
Oklahoma City, OK 73139-8123

Phone

(405) 286-9465

Fax

(405) 286-9462

NPI assigned

Aug 30, 2011

Last updated

Aug 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristie A Foster

Title

Executive Director

Phone

(405) 312-3038

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEAHBA

Practitioners 11

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.

• James S Archer, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1790747293
  Medicare reassignment NPD
• Timothy J Eldridge, MD

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1679548572
  Medicare reassignment NPD
• Svein M Holsaeter, MD

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1114992054
  Medicare reassignment NPD
• Clifford E Howell, MD

  • Vascular Surgery Physician
  • Oklahoma City, OK
  • NPI 1295700458
  Medicare reassignment NPD
• Kevin L Jolliff, MD

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1447390927
  Medicare reassignment NPD
• Theodore A Ruff, MD

  • Surgery Physician
  • Midwest City, OK
  • NPI 1477529139
  Medicare reassignment NPD
• Sara E. Suthers, MD

  • Surgical Oncology Physician
  • Oklahoma City, OK
  • NPI 1619936184

  Surgery

  Medicare reassignment NPD
• Timothy Vavricka, MD

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1700927175
  Medicare reassignment NPD
• James R Wendelken, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1326000191
  Medicare reassignment NPD
• Ian Daniel, MD

  • Surgery Physician
  • Greenville, TX
  • NPI 1205064730

  OK

  Medicare reassignment NPD
• Joshua P Carey, M.D.

  • Surgery Physician
  • Edmond, OK
  • NPI 1295726719
  NPD (past)

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1013298470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6370",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730836370",
            "telephone_number": "405-312-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398123",
            "telephone_number": "405-286-9465",
            "fax_number": "405-286-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SURGICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-312-3038"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma State Department of Health
• Oklahoma State Department of Health
• Oklahoma State Department of Health
• Oklahoma State Department of Health
• Oklahoma Surgery and Urology Center
• Oklahoma TCM Clinic
• Oklahoma Transplant Physicians LLC
• Oklahoma Treatment Services LLC (Rightway Medical)
• Oklahoma Treatment Services LLC (Rightway Medical)
• Okmed Transit

• Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.