Surgery Center of Enid Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

0047 Issued in OK

Legal business name

SURGERY CENTER OF ENID INC

Practice address

1133 West Willow Rd
Enid, OK 73703

Phone

(580) 233-7171

Fax

(580) 233-6680

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stewart C Burchett

Title

Administrator

Phone

(580) 233-7171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospital certification: CCN 370242

Legal name

SURGERY CENTER OF ENID, INC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 19, 2021

Last certification

May 19, 2021

Beds

1

Ownership / control type

Private (not for profit)

Facility address

1133 West Willow Road
Enid, OK 73703

Listed as

Surgery Center of Enid IncCCN 37C0001031

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Enid Surgical Anesthesia LLC

  • Anesthesiology Physician
  • Enid, OK
  • NPI 1134416373

  Member Of

  NPD member

Practitioners 2

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

• Michael C Owens, DO

  • Pain Medicine (Anesthesiology) Physician
  • Enid, OK
  • NPI 1114133907
  NPD
• Edgar Allen Fike IV, M.D.

  • Orthopaedic Surgery Physician
  • Enid, OK
  • NPI 1457431082
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407964950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WEST WILLOW RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-233-7171",
            "fax_number": "580-233-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WEST WILLOW RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-233-7171",
            "fax_number": "580-233-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF ENID INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "580-233-7171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "0047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sugarcreek Dental
• Jennifer Renee Sullivan, LPC , MCP
• Karla Kimberley Sullivan, MCP, LPC
• Catina Ley Sundvall, MCP, LPC, NCC
• Sunland Optical Co., Inc.
• Robin Lynn Swaim, LCSW
• Dustin K Swartwood
• Barbara Sweatt, LCSW
• Joseph Robert Swenton, M.D.
• Eve Switzer, MD

• Clinic/Center in Enid, OK
• Providers in Enid, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.