Southwest Orthopaedic Specialists, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC

Practice address

3130 Hayes Ave
Clinton, OK 73601-3601

Phone

(580) 323-8688

Fax

(405) 631-4964

NPI assigned

Aug 1, 2012

Organization subpart

Yes

Parent organization

SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLCAs reported in NPPES

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

Authorized official

Name

James David Moore

Title

Administrator

Phone

(405) 632-4468

Specialties & licenses 1

Addresses

Part of

SW Orthopaedic Speciali

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1285980821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S. WALKER AVENUE",
            "address_2": "BUILDING A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399404",
            "telephone_number": "405-632-4468",
            "fax_number": "405-631-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 HAYES AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013601",
            "telephone_number": "580-323-8688",
            "fax_number": "405-631-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC",
        "enumeration_date": "2012-08-01",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-632-4468"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memory Smith
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• Miranda Alberta Irene Smoot, APRN
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• Debra Sue Speer
• Stacey D Knapp DO PC Inc
• Keri Ray-Lyn Staggs
• Sherry L Staggs
• State of Oklahoma

• Orthopaedic Surgery Physician in Clinton, OK
• Providers in Clinton, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.