Organization Active NPI

Broken Arrow Orthopedics Inc

  • Orthopaedic Hand Surgery Physician
  • Tulsa, OK
National Provider Identifier
1245256486
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
17528 Issued in OK
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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.NPI 1255373122
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100135870AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060718000154 OK Part B Supplier - Clinic/Group Practice 4183637044 Receives reassigned benefits from 4 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

10507 E 91st St
Ste 350
Tulsa, OK 74133
Phone (918) 451-3000

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.