Active NPI
Apex Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Ada, OK
National Provider Identifier
1265907885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- APEX SURGERY CENTER, LLC
- Practice address
- 2001 Cradduck Road
Ada, OK 74820 - Phone
- (580) 279-0066
- Fax
- (580) 279-0077
- NPI assigned
- Oct 10, 2018
- Last updated
- Aug 27, 2024
- 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
- Ms. Corbin Mankin
- Title
- Administrator
- Phone
- (405) 285-7500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2001 Cradduck Road
Ada, OK 74820
Mailing address
2001 Cradduck Road
Ada, OK 74820
Phone (580) 279-0066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181226001938 | OK | Part B Supplier - Ambulatory Surgical Center | 0143565960 | Practice locations: Ada, OK |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Apex Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2162886 | Apex Surgery Center, LLC | Provider-performed microscopy | Mar 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Ada, OK
- NPI 1144515016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1265907885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CRADDUCK ROAD",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-279-0066",
"fax_number": "580-279-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRADDUCK ROAD",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-279-0066",
"fax_number": "580-279-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APEX SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-10",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "MANKIN",
"authorized_official_first_name": "CORBIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "405-285-7500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.