Surgical Specialists of Oklahoma PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SURGICAL SPECIALISTS OF OKLAHOMA PLLC

Practice address

2349 N Thompkins Ave
Bethany, OK 73008-5307

Phone

(405) 495-6134

Fax

(405) 787-8466

NPI assigned

Feb 13, 2009

Last updated

Dec 3, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SURGICAL SPECIALISTS OF OKLAHOMA PLLCAs reported in NPPES

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

Authorized official

Name

Angela Cosby

Title

Ceo

Phone

(405) 842-4850

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Sugical Specs of Ok PLLC

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1396984456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7570",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837570",
            "telephone_number": "405-842-4850",
            "fax_number": "405-242-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 N THOMPKINS AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085307",
            "telephone_number": "405-495-6134",
            "fax_number": "405-787-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF OKLAHOMA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURGICAL SPECIALISTS OF OKLAHOMA PLLC",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-842-4850"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205879772",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Stewart
• Amber Jo Stocco, MD
• Kendra Stone
• Lucas Emil Streets
• Mary Jean Stuard, APRN CNP
• Surgical Specialists of Oklahoma PLLC
• Amanda Sutton, LPC-S
• Kelly Swafford, PTA
• Jessica Ann Sword, APRN
• Anita L Tanner, PA

• Durable Medical Equipment & Medical Supplies in Bethany, OK
• Providers in Bethany, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.