Active NPI
Broken Arrow Orthopedics Inc
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
National Provider Identifier
1245256486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 17528
- Legal business name
- BROKEN ARROW ORTHOPEDICS INC
- Practice address
- 10507 E 91St St Ste 350
Tulsa, OK 74133-5598 - Phone
- (918) 451-3000
- Fax
- (918) 451-2700
- NPI assigned
- Jul 14, 2006
- Last updated
- Jun 9, 2017
- 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
- Dr. Garrett Edward Watts, M.D.
- Title
- Owner
- Phone
- (918) 451-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 17528 | OK | Primary |
Addresses
Primary practice location
10507 E 91St St Ste 350
Tulsa, OK 74133-5598
Mailing address
10507 East 91St St
Suite 350
Tulsa, OK 74133-5598
Phone (918) 451-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100135870A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10507 E 91st St
Ste 350
Tulsa, OK 74133
Phone (918) 451-3000
Interoperability endpoints
- https://api.platform.athenahealth.com/15136/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1255373122
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1730120155
-
- Orthopaedic Surgery Physician
- Owasso, OK
- NPI 1942280425
-
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
- NPI 1003816265
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1003021130
-
- Occupational Therapist
- Broken Arrow, OK
- NPI 1700916343
-
- Physical Therapist
- Broken Arrow, OK
- NPI 1720167505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496966400000",
"number": "1245256486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10507 EAST 91ST ST",
"address_2": "SUITE 350",
"city": "TULSA",
"state": "OK",
"postal_code": "741335598",
"telephone_number": "918-451-3000",
"fax_number": "918-451-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10507 E 91ST ST STE 350",
"city": "TULSA",
"state": "OK",
"postal_code": "741335598",
"telephone_number": "918-451-3000",
"fax_number": "918-451-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROKEN ARROW ORTHOPEDICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2017-06-09",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "GARRETT",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-451-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "OK",
"license": "17528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100135870A",
"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 9, 2017; 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.