Foundation Surgery Affiliate of Northwest Oklaho

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0077 Issued in OK

Legal business name

FOUNDATION SURGERY AFFILIATE OF NORTHWEST OKLAHO

Doing business as

Foundation Surgery Center of Oklahoma

Practice address

14000 N. Portland Avenue
Suite 100
Oklahoma City, OK 73134-4004

Phone

(405) 936-8100

Fax

(405) 748-5962

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Thomas A Newman

Title

Evp and Chief Operating Officer

Phone

(405) 608-1706

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Foundation Surgery Center of Oklahoma Doing business as

Locations

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1093771909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 N. PORTLAND AVENUE",
            "address_2": "SUITE 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344004",
            "telephone_number": "405-608-1700",
            "fax_number": "405-608-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 N. PORTLAND AVENUE",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344004",
            "telephone_number": "405-936-8100",
            "fax_number": "405-748-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATE OF NORTHWEST OKLAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EVP AND CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "405-608-1706"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0077",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200077650 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation Surgery Center of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Foulger, D.M.D
• Arlen Ray Foulks, DO
• Foundation Family Counseling Services RN,PLLC
• Foundation Family Counseling Servies RN.PLLC
• Foundation Healthcare Products, LLC
• Founders Healthcare, LLC
• Fountain of Hope Family Services, Inc.
• Ralph Eugene Fountain, PA
• Fountains Canterbury SL, LLC
• Four Seasons Nursing Centers Inc

• Ambulatory Surgical Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.