Active NPI
Memorial Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Tulsa, OK
National Provider Identifier
1205949245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0076
- Legal business name
- MEMORIAL SURGERY CENTER, LLC
- Practice address
- 8131 S Memorial Dr
Ste 107
Tulsa, OK 74133-4347 - Phone
- (918) 252-5114
- Fax
- (918) 252-5117
- NPI assigned
- Aug 16, 2006
- 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
- Erica Wehrmeister
- Title
- Officer/Authorized Official
- Phone
- (260) 760-9420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0076 | OK | Primary |
Addresses
Primary practice location
8131 S Memorial Dr
Ste 107
Tulsa, OK 74133-4347
Mailing address
8131 S Memorial Dr
Ste 107
Tulsa, OK 74133-4347
Phone (918) 252-5114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00303785 | Other | OK | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051223000126 | OK | Part B Supplier - Ambulatory Surgical Center | 0547282147 | Practice locations: Tulsa, OK |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Uspi Memorial Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1045962 | Memorial Surgery Center | Certificate of waiver | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1205949245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8131 S MEMORIAL DR",
"address_2": "STE 107",
"city": "TULSA",
"state": "OK",
"postal_code": "741334347",
"telephone_number": "918-252-5114",
"fax_number": "918-252-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8131 S MEMORIAL DR",
"address_2": "STE 107",
"city": "TULSA",
"state": "OK",
"postal_code": "741334347",
"telephone_number": "918-252-5114",
"fax_number": "918-252-5117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "WEHRMEISTER",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "260-760-9420"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OK",
"license": "0076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00303785",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.