Organization Active NPI

Norman Surgical Associates LLC

  • Surgery Physician
  • Norman, OK
National Provider Identifier
1326234584
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
23363 Issued in OK
Legal business name
NORMAN SURGICAL ASSOCIATES LLC
Practice address
500 E Robinson St
2300
Norman, OK 73071-6697
Phone
(405) 329-4102
Fax
(405) 364-3476
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mr. Tom Shi Connally, MD
Title
Member
Phone
(405) 329-4102

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 17833 OK
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 23363 OK Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 24274 OK
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 26881 OK
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X 9306 OK
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X R0054197 OK

Addresses

Primary practice location

500 E Robinson St
2300
Norman, OK 73071-6697

Mailing address

500 E Robinson St
2300
Norman, OK 73071-6697
Phone (405) 329-4102

Other identifiers 1

IdentifierTypeStateIssuer
200127940AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1326234584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST",
            "address_2": "2300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716697",
            "telephone_number": "405-329-4102",
            "fax_number": "405-364-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ROBINSON ST",
            "address_2": "2300",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716697",
            "telephone_number": "405-329-4102",
            "fax_number": "405-364-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "CONNALLY",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "SHI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-329-4102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "17833",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "23363",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "24274",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "26881",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "license": "9306",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0054197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200127940A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.