NPIMap

Organization Active NPI

Gsi ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Tulsa, OK
National Provider Identifier
1306214705
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GSI ASC, LLC
Practice address
10210 E 91St St
Tulsa, OK 74133-5834
Phone
(918) 940-8500
Fax
(918) 940-8399
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
John Hood, MDNPI 1235126426
Title
Ceo
Phone
(918) 940-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

10210 E 91St St
Tulsa, OK 74133-5834

Mailing address

10210 E 91St St
Tulsa, OK 74133-5834
Phone (918) 940-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170204000007 OK Part B Supplier - Ambulatory Surgical Center 6608159272 Receives reassigned benefits from 13 practitioners
Practice locations: Tulsa, OK

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gsi ASC LLCCCN 37C0001074
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0924800Gsi ASC, LLC10210 E 91St St, Tulsa, OK 74133Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10210 E 91st St
Tulsa, OK 74133
Phone (918) 940-8500

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1306214705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500",
            "fax_number": "918-940-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500",
            "fax_number": "918-940-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSI ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-940-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.

Verify at the official NPI Registry.