Organization Active NPI

Oklahoma Shoulder Surgery, LLC

  • Orthopaedic Surgery Physician
  • Owasso, OK
National Provider Identifier
1366373300
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OKLAHOMA SHOULDER SURGERY, LLC
Practice address
12806 E 101St PL N Ste 2
Owasso, OK 74055-4662
Phone
(918) 965-2236
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Danya J JulsonNPI 1790017283
Title
Physician/Member
Phone
(918) 798-4802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

12806 E 101St PL N Ste 2
Owasso, OK 74055-4662

Mailing address

1175 S Aspen Ave Ste K
Broken Arrow, OK 74012-4800
Phone (833) 524-2400

National Provider Directory

National Provider Directory

Locations

1175 S Aspen Ave
Ste K
Broken Arrow, OK 74012

12806 E 101st Pl N
Ste 2
Owasso, OK 74055
Phone (918) 965-2236

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1366373300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 S ASPEN AVE STE K",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124800",
            "telephone_number": "833-524-2400",
            "fax_number": "918-290-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12806 E 101ST PL N STE 2",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554662",
            "telephone_number": "918-965-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SHOULDER SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "JULSON",
        "authorized_official_first_name": "DANYA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/MEMBER",
        "authorized_official_telephone_number": "918-798-4802"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.