Orthopedic and Spine Center of Oklahoma, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4109 Issued in OK

Legal business name

ORTHOPEDIC AND SPINE CENTER OF OKLAHOMA, PC

Practice address

8165 S Mingo Rd Ste 201
Tulsa, OK 74133-4668

Phone

(918) 286-3124

Fax

(918) 286-3764

NPI assigned

Jun 22, 2010

Last updated

Sep 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kris Parchuri, DONPI 1881816197

Title

Owner

Phone

(918) 805-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kris Parchuri, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Tulsa, OK
  • NPI 1881816197

  O20100930029262

  Same enrollment

Locations

Practitioners 2

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.

• Kris Parchuri, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Tulsa, OK
  • NPI 1881816197
  Medicare reassignment NPD Authorized official
• Tamara L Bennett-Nolley, PA-C

  • Physician Assistant
  • Tulsa, OK
  • NPI 1598061301
  Medicare reassignment

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1336460575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334668",
            "telephone_number": "918-286-3124",
            "fax_number": "918-286-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334668",
            "telephone_number": "918-286-3124",
            "fax_number": "918-286-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPINE CENTER OF OKLAHOMA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "PARCHURI",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-805-7200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200029510A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Ortery, PTA
• Orthopaedic Center, PC (The Orthopaedic Center)
• Orthopaedic Home Care, Inc.
• Orthopaedic Pain Management
• Orthopedic & Trauma Service of Oklahoma, PC
• Orthopedic Hopsital of Oklahoma
• Orthopedic Physical Therapy Specialists, PLLC
• Sydney Ortiz Torres
• Bambi D Ortiz, RSS
• Jane Ortiz

• Orthopaedic Surgery Physician in Tulsa, OK
• Providers in Tulsa, 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 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.