Organization Active NPI

Surgery Inc

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1083750525
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGERY INC
Practice address
1725 E 19TH St
Suite 800
Tulsa, OK 74104-5472
Phone
(918) 301-2505
Fax
(918) 744-3633
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Betty Sloan
Title
Asst Office Manager
Phone
(918) 301-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X OK Primary

Addresses

Primary practice location

1725 E 19TH St
Suite 800
Tulsa, OK 74104-5472

Mailing address

PO Box 35307
Tulsa, OK 74153-0307

Other identifiers 2

IdentifierTypeStateIssuer
100729310AMedicaidOK
CD8640OtherOKRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1725 E 19th St
Ste 800
Tulsa, OK 74104
Phone (918) 301-2505

Practitioners & affiliated clinicians

Practitioners 8

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1083750525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35307",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741530307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E 19TH ST",
            "address_2": "SUITE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045472",
            "telephone_number": "918-301-2505",
            "fax_number": "918-744-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ASST OFFICE MANAGER",
        "authorized_official_telephone_number": "918-301-2505"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729310A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD8640",
            "state": "OK"
        }
    ],
    "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 Jul 20, 2011; 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.