Stillwater Sports Medicine, Inc.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

STILLWATER SPORTS MEDICINE, INC.

Practice address

320 N Perkins Rd
Stillwater, OK 74075-5513

Phone

(405) 707-7500

Fax

(405) 707-9948

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Munson, MD

Title

Owner

Phone

(405) 707-7500

Specialties & licenses 1

Addresses

Other names 1

• Stillwater Orthopedic and Sports Medicine Associates Doing business as

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407979131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755513",
            "telephone_number": "405-707-7500",
            "fax_number": "405-707-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N PERKINS RD",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740755513",
            "telephone_number": "405-707-7500",
            "fax_number": "405-707-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-707-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stillwater Orthopedic and Sports Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stillwater Physical Therapy Center
• Stillwater Public Schools
• Stillwater Radiology LLC
• Stillwater Skin & Cancer Medical Clinic, Inc
• Stillwater Speech-Language Services
• Stillwater Surgery Center, LLC
• Stillwater Therapy Solutions
• Stillwater Urology Associates PC
• Stillwater Urology Inc.
• Stillwater Vision Clinic PLLC

• Sports Medicine (Orthopaedic Surgery) Physician in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Sports Medicine (Orthopaedic Surgery) Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.