NPIMap

Organization Active NPI

Oklahoma Center for Orthopaedic Excellence & Sports Medicine, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1114991304
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
3481 Issued in OK
Legal business name
OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC
Practice address
3110 SW 89TH St
Suite 200C
Oklahoma City, OK 73159-7919
Phone
(405) 759-2663
Fax
(405) 759-3827
NPI assigned
Feb 14, 2006
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Michael Sean Obrien, DONPI 1164496238
Title
President
Phone
(405) 759-2663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 3481 OK Primary

Addresses

Primary practice location

3110 SW 89TH St
Suite 200C
Oklahoma City, OK 73159-7919

Mailing address

PO Box 890358
Oklahoma City, OK 73189-0358
Phone (405) 759-2663

Other identifiers 1

IdentifierTypeStateIssuer
200064010AMedicaidOK

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • TPG Hospital LLC

    dba Northwest Surgical Hospital

    • General Acute Care Hospital
    • Oklahoma City, OK
    • NPI 1942260971

    Member Of

    NPD member

Locations

1230 SW 89th St
Ste A
Oklahoma City, OK 73139
Phone (405) 759-2663

Interoperability endpoints

  • Direct secure messaging: deborahlabrie@oklahomace.allscriptsdirect.net
  • Direct secure messaging: kevinmason@oklahomace.allscriptsdirect.net
  • Direct secure messaging: michaelobrien@oklahomace.allscriptsdirect.net
  • Direct secure messaging: ritahancock@oklahomace.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1114991304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890358",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890358",
            "telephone_number": "405-759-2663",
            "fax_number": "405-759-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST",
            "address_2": "SUITE 200C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597919",
            "telephone_number": "405-759-2663",
            "fax_number": "405-759-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-759-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "3481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.