Active NPI
Surgical Specialists of Oklahoma PLLC
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
National Provider Identifier
1245419076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SURGICAL SPECIALISTS OF OKLAHOMA PLLC
- Practice address
- 4200 W Memorial Rd
Ste 501
Oklahoma City, OK 73120-9350 - Phone
- (405) 842-4850
- Fax
- (405) 842-9612
- NPI assigned
- Oct 29, 2007
- Organization subpart
- Yes
- Parent organization
- SURGICAL SPECIALISTS OF OKLAHOMA PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David F Johnson
- Title
- Ceo
- Phone
- (405) 842-4850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4200 W Memorial Rd
Ste 501
Oklahoma City, OK 73120-9350
Mailing address
PO Box 268848
Oklahoma City, OK 73126-8848
Phone (405) 242-2101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568579308 | Other | OK | NPI |
Other names 1
- Basel Hassoun, MD
National Provider Directory
National Provider Directory- Part of
- Surgical Specialists of Oklahoma
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1245419076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268848",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268848",
"telephone_number": "405-242-2101",
"fax_number": "405-842-9612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 W MEMORIAL RD",
"address_2": "STE 501",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209350",
"telephone_number": "405-842-4850",
"fax_number": "405-842-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL SPECIALISTS OF OKLAHOMA PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SURGICAL SPECIALISTS OF OKLAHOMA PLLC",
"enumeration_date": "2007-10-29",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-842-4850",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568579308",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Basel Hassoun, MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Oklahoma City, OK
- Surgical Services of Oklahoma
- Surgical Specialists Inc. (Jack A barney, M.D.)
- Surgical Specialists Inc.
- Surgical Specialists of Oklahoma PLLC
- Surgical Specialists of Oklahoma PLLC
- Surgical Specialists of Oklahoma PLLC
- Surgical Specialists of Oklahoma PLLC
- Surgical Specialists of Oklahoma PLLC
- Surgical Specialists of Oklahoma PLLC
- Surgical Specialists of Oklahoma PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.