Surgical Partners of Oklahoma

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

21970 Issued in OK

Legal business name

SURGICAL PARTNERS OF OKLAHOMA

Practice address

1808 Commons Circle
Yukon, OK 73099-9518

Phone

(405) 265-2210

Fax

(405) 265-2256

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brady Scott Hagood, MDNPI 1003893561

Title

Owner

Phone

(405) 265-2210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

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

• Brady S Hagood, M.D.

  • Surgery Physician
  • Yukon, OK
  • NPI 1003893561
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Enix, MD

  • Surgery Physician
  • Yukon, OK
  • NPI 1336433366
  Medicare reassignment Care Compare group NPD
• Stephanie L Taylor, MD

  • Surgery Physician
  • Yukon, OK
  • NPI 1396885729
  Medicare reassignment Care Compare group NPD
• Hamilton Son Tich Le, M.D.

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1578667804
  Medicare reassignment NPD
• Timothy Weaver, MD

  • Surgery Physician
  • Yukon, OK
  • NPI 1831410752
  Medicare reassignment NPD
• Ashley Sale, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1154664878
  Medicare reassignment

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1457763757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 COMMONS CIRCLE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-265-2210",
            "fax_number": "405-265-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 COMMONS CIRCLE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-265-2210",
            "fax_number": "405-265-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PARTNERS OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "HAGOOD",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-265-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "21970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Elise Sudik, RD
• Lisa Marie Sullivan, APRN-CNP
• Summer Dental Yukon, PLLC
• Joanna Lynn Summers
• Sunstone Family Therapy
• Surrey Hills Dental Inc
• Susan Dawn Gibson, LLC
• Jefferson Charles Sutton
• David Sumner Swan
• Ashton Paige Sward

• Surgery Physician in Yukon, OK
• Providers in Yukon, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.