Anderson Sports Medicine and Orthopedic Center, P.L.L.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ANDERSON SPORTS MEDICINE AND ORTHOPEDIC CENTER, P.L.L.C.

Practice address

13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431

Phone

(405) 418-4500

Fax

(405) 418-4501

NPI assigned

Dec 20, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Randall Murray

Title

Practice Manager

Phone

(405) 418-4505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary B Anderson, M.D.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1952496259
  Medicare reassignment NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1407516339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141431",
            "telephone_number": "405-418-4500",
            "fax_number": "405-418-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141431",
            "telephone_number": "405-418-4500",
            "fax_number": "405-418-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON SPORTS MEDICINE AND ORTHOPEDIC CENTER, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "405-418-4505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drexy Pearl Torres Ancog, DDS
• Andale Healthcare, LLC
• Haripriya Andanamala, MD
• Andy John Anders, C.P., L.P.
• Anderson Recovery Center
• Alexis Anderson, M.M.F.T.
• Alison Anderson
• Amy Elizabeth Anderson, M.ED, BCBA
• Angela Marie Anderson
• April Anderson

• Orthopaedic Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, 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 Dec 20, 2021; 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.