Active NPI
Av Medical PLLC
- Orthopaedic Surgery Physician
- Pryor, OK
National Provider Identifier
1104638667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- AV MEDICAL PLLC
- Doing business as
- AV Medical PLLC
- Practice address
- 201 S Adair St Ste a
Pryor, OK 74361-5225 - Phone
- (918) 200-9187
- Fax
- (539) 390-3009
- NPI assigned
- Jan 22, 2025
- Last updated
- Jan 22, 2025
- 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
- James P Avies, MD
- Title
- Ceo/ Physician
- Phone
- (918) 261-0900
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
201 S Adair St Ste a
Pryor, OK 74361-5225
Mailing address
10741 S 70TH East Ave
Tulsa, OK 74133-7114
Phone (918) 200-9187
Other practice location 1
2448 E 81st St Ste 1520
Tulsa, OK 74137-4212
Phone (918) 200-9187
Other names 1
- AV Medical PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Tulsa, OK
- NPI 1881034726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1104638667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10741 S 70TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741337114",
"telephone_number": "918-200-9187",
"fax_number": "539-390-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S ADAIR ST STE A",
"city": "PRYOR",
"state": "OK",
"postal_code": "743615225",
"telephone_number": "918-200-9187",
"fax_number": "539-390-3009"
}
],
"practiceLocations": [
{
"address_1": "2448 E 81st St Ste 1520",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741374212",
"country_code": "US",
"telephone_number": "918-200-9187",
"fax_number": "539-390-3009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AV MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A",
"authorized_official_last_name": "AVIES",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO/ PHYSICIAN",
"authorized_official_telephone_number": "918-261-0900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AV Medical PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.