Active NPI
Norman Surgical Associates LLC
- Surgery Physician
- Norman, OK
National Provider Identifier
1326234584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17833 | OK | |
| Surgery Physician | 208600000X | 23363 | OK | Primary |
| Surgery Physician | 208600000X | 24274 | OK | |
| Surgery Physician | 208600000X | 26881 | OK | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 9306 | OK | |
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200127940A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI 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
- Norman SNF Operations, LLC (24th Place)
- Norman Specialty Hospital LLC (Norman Specialty Hospital)
- Norman Surgical Arts Center
- Norman Surgical Arts Center PLLC
- Norman Surgical Arts Center PLLC
- Norman Ultrasound Associates LLC (Brookhaven Diagnostic Imaging Center)
- Norman Urology Associates PC
- Norman Urology Associates PC
- Norman Veterans Center
- Norman Vision Clinic PLLC
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.