Organization Active NPI

Weir ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Tulsa, OK
National Provider Identifier
1033543863
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEIR ASC LLC
Practice address
9840 East 81 St
Suite 200
Tulsa, OK 74133
Phone
(405) 703-1138
Fax
(405) 703-1270
NPI assigned
Aug 28, 2013
Organization subpart
Yes
Parent organization
WEIR ACS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Allison Stark
Title
Clinical Director
Phone
(405) 703-1138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9840 East 81 St
Suite 200
Tulsa, OK 74133

Mailing address

9913 S May Ave
Oklahoma City, OK 73159-7017
Phone (405) 703-1138

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110119001171 OK Part B Supplier - Ambulatory Surgical Center 6608055983 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oklahoma City, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Weir ASC LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1033543863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 S MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597017",
            "telephone_number": "405-703-1138",
            "fax_number": "405-703-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 EAST 81 ST",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "405-703-1138",
            "fax_number": "405-703-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIR ASC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEIR ACS LLC",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-703-1138"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.