Scissortail Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCISSORTAIL SURGERY CENTER

Practice address

2811 E 15TH St Ste 101
Tulsa, OK 74104-5242

Phone

(918) 615-9340

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Amit Mirchandani, MDNPI 1457687378

Title

Manager

Phone

(918) 615-9340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Ambulatory surgical center certification: CCN 37C0001080

Legal name

SCISSORTAIL SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 30, 2024

Last certification

Nov 22, 2024

Facility address

2811 E 15TH Street Suite 101
Tulsa, OK 74104

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amit Mirchandani, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lewisville, TX
  • NPI 1457687378
  NPD (past) Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1255194221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-615-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-615-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCISSORTAIL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MIRCHANDANI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-615-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Amanda Schwier, ARNP
• Shawn Kristine Schwier, PTA
• Jason C Schwope, MA
• Scissortail Endodontic Specialists
• Scissortail Healthcare LLC
• Guido Sclabas, MD
• Scott Robison'S Prescriptions
• Scott Robisons RX Inc
• Melissa Lynn Scott-Downer, LPC-US
• Logan Matthew Scott-Kirchen, MD

• Ambulatory Surgical Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.