Organization Active NPI

Memorial Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tulsa, OK
National Provider Identifier
1205949245
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0076 Issued in OK
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

Updated by the provider on May 6, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00303785OtherOKRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 CenterCCN 37C0001055
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D1045962Memorial Surgery Center8131 S Memorial Drive, Tulsa, OK 74133Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.