Active NPI
Physicians Surgical Center LLC
- Ambulatory Surgical Clinic/Center
- Moore, OK
National Provider Identifier
1073570552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0022
- Legal business name
- PHYSICIANS SURGICAL CENTER LLC
- Practice address
- 3121 S Telephone Rd
Moore, OK 73160-2944 - Phone
- (405) 364-9789
- Fax
- (405) 447-4985
- NPI assigned
- Apr 27, 2006
- 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
- Allie Tsotigh
- Title
- HR/Business Office Manager
- Phone
- (405) 364-9789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0022 | OK | Primary |
Addresses
Primary practice location
3121 S Telephone Rd
Moore, OK 73160-2944
Mailing address
3121 S Telephone Rd
Moore, OK 73160-2944
Phone (405) 364-9789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100743900A | Medicaid | OK |
Other names 1
- Physicians Surgical Center, an affiliate of HEALTHSOUTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040317001211 | OK | Part B Supplier - Ambulatory Surgical Center | 9739079336 | Practice locations: Moore, OK |
Hospital certification: CCN 370241
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PHYSICIANS SURGICAL CENTER
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 7, 2021
- Last certification
- Jan 7, 2021
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Facility address
- 3121 S Telephone Road
Moore, OK 73160
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Physicians Surgical Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0675443 | Physicians Surgical Center LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781049600000",
"number": "1073570552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 S TELEPHONE RD",
"city": "MOORE",
"state": "OK",
"postal_code": "731602944",
"telephone_number": "405-364-9789",
"fax_number": "405-447-4985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 S TELEPHONE RD",
"city": "MOORE",
"state": "OK",
"postal_code": "731602944",
"telephone_number": "405-364-9789",
"fax_number": "405-447-4985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS SURGICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A",
"authorized_official_last_name": "TSOTIGH",
"authorized_official_first_name": "ALLIE",
"authorized_official_title_or_position": "HR/BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "405-364-9789"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OK",
"license": "0022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100743900A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Physicians Surgical Center, an affiliate of HEALTHSOUTH",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Physicians Surgical Center, an affiliate of HEALTHSOUTH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.