Active NPI
Orthopaedic and Sports Medicine Center-Norman, P.C.
- Durable Medical Equipment & Medical Supplies
- Midwest City, OK
National Provider Identifier
1366228439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ORTHOPAEDIC AND SPORTS MEDICINE CENTER-NORMAN, P.C.
- Practice address
- 1117 S Douglas Blvd Ste D
Midwest City, OK 73130-5265 - Phone
- (405) 364-7900
- Fax
- (405) 366-6214
- NPI assigned
- Sep 5, 2023
- 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
- Emily Wainner
- Title
- Credentialing
- Phone
- (405) 310-6881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1117 S Douglas Blvd Ste D
Midwest City, OK 73130-5265
Mailing address
825 E Robinson St
Norman, OK 73071-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240508000884 | OK | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 2567454937 | Practice locations: Midwest City, OK |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Stillwater, OK
- NPI 1073399143
2567454937
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Norman, OK
- NPI 1306854765
2567454937
National Provider Directory
National Provider Directory- Tax ID family
- Orthopaedic and Sports Med
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Stillwater, OK
- NPI 1073399143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1366228439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 S DOUGLAS BLVD STE D",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731305265",
"telephone_number": "405-364-7900",
"fax_number": "405-366-6214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPAEDIC AND SPORTS MEDICINE CENTER-NORMAN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "WAINNER",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "405-310-6881"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.