Organization Active NPI

Midtown Orthopedics and Sports Medicine LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Oklahoma City, OK
National Provider Identifier
1447648092
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
MIDTOWN ORTHOPEDICS AND SPORTS MEDICINE LLC
Practice address
400 NW 13TH St
Oklahoma City, OK 73103-3711
Phone
(405) 272-8326
Fax
(405) 272-7963
NPI assigned
Jan 6, 2015
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Jason Emerson, MDNPI 1770697963
Title
President
Phone
(405) 272-8326

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
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X Primary

Addresses

Primary practice location

400 NW 13TH St
Oklahoma City, OK 73103-3711

Mailing address

400 NW 13TH St
Oklahoma City, OK 73103-3711
Phone (405) 272-8326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150309002435 OK Part B Supplier - Clinic/Group Practice 2264758382 Receives reassigned benefits from 2 practitioners
Practice locations: Oklahoma City, OK
O20170511001717 OK DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2264758382 Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Member organizations 1

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Onecore HealthOklahoma City, OK, CCN 370220 Hospital Other (1.21%) Jul 31, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1447648092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033711",
            "telephone_number": "405-272-8326",
            "fax_number": "405-272-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NW 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731033711",
            "telephone_number": "405-272-8326",
            "fax_number": "405-272-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN ORTHOPEDICS AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-272-8326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.