Orthopedic Center of Muskogee

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORTHOPEDIC CENTER OF MUSKOGEE

Practice address

3900 West Broadway
Muskogee, OK 74401

Phone

(918) 686-6600

Fax

(918) 686-6601

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Clint Forest Kirk, DONPI 1306882980

Title

Doctor

Phone

(918) 686-6600

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Clint Forrest Kirk, DO

  • Orthopaedic Surgery Physician
  • Lawton, OK
  • NPI 1306882980
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1316010150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WEST BROADWAY",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-686-6600",
            "fax_number": "918-686-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WEST BROADWAY",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-686-6600",
            "fax_number": "918-686-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CENTER OF MUSKOGEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-686-6600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00007143",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Om Imaging PLLC
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• Lonnie Orman, APRN
• Orpro Inc (OrPro Prosthetics & Orthotics)
• Monica Alexandra Ortiz-Pacurucu, MD
• Watt Osage, LCSW
• Erik Jon Ostrowski, MS, ACSM-RCEP, CCRP
• Osu Center for Health Sciences (Osu-Aj Ies ER Oklahoma LLC - Muskogee)
• Osu Center for Health Sciences (Osu-Aj Hoos Pediatric and Adolescent Care, PLLC)

• Sports Medicine (Orthopaedic Surgery) Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.