NPIMap

Organization Active NPI

Surgical Specialists of Oklahoma, PLLC

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1023003035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL SPECIALISTS OF OKLAHOMA, PLLC
Practice address
1000 W Wilshire Blvd
Ste. 220
Oklahoma City, OK 73116-7030
Phone
(405) 842-4850
Fax
(405) 848-2425
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David F Johnson
Title
Ceo
Phone
(405) 842-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1000 W Wilshire Blvd
Ste. 220
Oklahoma City, OK 73116-7030

Mailing address

1000 W Wilshire Blvd
Ste. 220
Oklahoma City, OK 73116-7030
Phone (405) 842-4850

National Provider Directory

National Provider Directory
Tax ID family
Surgical Specialists of Oklahoma6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023003035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD",
            "address_2": "STE. 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167030",
            "telephone_number": "405-842-4850",
            "fax_number": "405-848-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WILSHIRE BLVD",
            "address_2": "STE. 220",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167030",
            "telephone_number": "405-842-4850",
            "fax_number": "405-848-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF OKLAHOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-842-4850",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.