Organization Active NPI

Eastern Oklahoma Orthopedic Center Inc

  • Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1043210305
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
EASTERN OKLAHOMA ORTHOPEDIC CENTER INC
Practice address
6475 S Yale Ave
Ste. 301
Tulsa, OK 74136-7815
Phone
(918) 494-9300
Fax
(918) 494-9355
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mr. Jeff Smith
Title
Administrator
Phone
(918) 494-9313

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

6475 S Yale Ave
Ste. 301
Tulsa, OK 74136-7815

Mailing address

6475 S Yale Ave
Ste. 301
Tulsa, OK 74136-7815
Phone (918) 494-9300

National Provider Directory

National Provider Directory

Locations

13720 E 86th St N
Ste 100
Owasso, OK 74055
Phone (918) 212-6332

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1043210305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE",
            "address_2": "STE. 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367815",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 S YALE AVE",
            "address_2": "STE. 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741367815",
            "telephone_number": "918-494-9300",
            "fax_number": "918-494-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OKLAHOMA ORTHOPEDIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-494-9313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 1, 2009; 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.