Active NPI
Eastern Oklahoma Orthopedic Center Inc
- Orthopaedic Surgery Physician
- Tulsa, OK
National Provider Identifier
1043210305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Physical Therapist | 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 DirectoryLocations
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
- Eastern Oklahoma Dental Anesthesia Specialists, LLC
- Eastern Oklahoma Dental Institute
- Eastern Oklahoma Ear Nose and Throat Inc
- Eastern Oklahoma Ear, Nose & Throat Inc
- Eastern Oklahoma Ear, Nose, and Throat
- Eastern Oklahoma Surgery Center LLC
- Eastern Oklahoma Wellness Center
- Eastern Oklahoma Wellness Center LLC
- Eastgate Metroplex Therapy LLC
- Eastland Eye Care Associates PLLC
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.