Organization Active NPI

Physicians Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Moore, OK
National Provider Identifier
1073570552
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0022 Issued in OK
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

Updated by the provider on Jun 10, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100743900AMedicaidOK

Other names 1

  • Physicians Surgical Center, an affiliate of HEALTHSOUTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 37C0001011
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0675443Physicians Surgical Center LLC3121 South Telephone Road, Moore, OK 73160Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI 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

Verify at the official NPI Registry.