Oklahoma Wound Care, P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

228653 Issued in NY

Legal business name

OKLAHOMA WOUND CARE, P.C.

Practice address

10912 E 14TH St
Tulsa, OK 74128-4845

Phone

(918) 438-2440

Fax

(918) 439-9594

NPI assigned

Jun 17, 2013

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spero Theodorou, M.D.NPI 1669444972

Title

Surgical Director

Phone

(914) 237-6797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Spero John Theodorou, M.D.

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1669444972
  NPD (past) Authorized official

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1265871800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 MCLEAN AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107044105",
            "telephone_number": "914-237-6797",
            "fax_number": "914-237-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 E 14TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741284845",
            "telephone_number": "918-438-2440",
            "fax_number": "918-439-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA WOUND CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "THEODOROU",
        "authorized_official_first_name": "SPERO",
        "authorized_official_title_or_position": "SURGICAL DIRECTOR",
        "authorized_official_telephone_number": "914-237-6797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "228653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Treatment Services LLC
• Oklahoma Vein Center
• Oklahoma Vision Development Center (Harrel Eyecare Center)
• Oklahoma Wisdom Teeth Center
• Oklahoma Wound Care JJ PC
• Oklahomans for Equality Inc (OKEQ Health Clinic)
• Okmulgee Radiology, Inc
• Ngozi Rosemary Okolonwamu, PA C
• Uchenna Okolonwamu, P.A
• Serah Okoro

• Plastic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.