Organization Active NPI

Av Medical PLLC

  • Orthopaedic Surgery Physician
  • Pryor, OK
National Provider Identifier
1104638667
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627000667 OK Part B Supplier - Clinic/Group Practice 2668985342 Receives reassigned benefits from 1 practitioner
Practice locations: Pryor, OK

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.