Organization Active NPI

Orthopedic & Trauma Service of Oklahoma, PC

  • Medical Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1235316829
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ORTHOPEDIC & TRAUMA SERVICE OF OKLAHOMA, PC
Practice address
5110 S Yale Ave Ste 525
Tulsa, OK 74135-7485
Phone
(918) 392-4547
Fax
(918) 392-4555
NPI assigned
Jan 25, 2008
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Betsy Webb
Title
Office Manager
Phone
(918) 392-4547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X OK Primary
Orthopaedic Trauma Physician 207XX0801X

Addresses

Primary practice location

5110 S Yale Ave Ste 525
Tulsa, OK 74135-7485

Mailing address

5110 S Yale Ave Ste 525
Tulsa, OK 74135-7485
Phone (918) 392-4547

Other identifiers 1

IdentifierTypeStateIssuer
200221390AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080508000292 OK Part B Supplier - Clinic/Group Practice 2163501693 Receives reassigned benefits from 16 practitioners
Practice locations: Tulsa, OK
O20100930034956 OK DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2163501693 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2424 E 21st St
Ste 320
Tulsa, OK 74114
Phone (918) 392-4547

5110 S Yale Ave
Ste 525
Tulsa, OK 74135
Phone (918) 392-4547

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1235316829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 525",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357485",
            "telephone_number": "918-392-4547",
            "fax_number": "918-392-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 S YALE AVE STE 525",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357485",
            "telephone_number": "918-392-4547",
            "fax_number": "918-392-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & TRAUMA SERVICE OF OKLAHOMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "918-392-4547"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200221390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "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 Jun 11, 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.