Ortho Plus LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORTHO PLUS LLC

Practice address

2419 N Commerce St Ste B
Ardmore, OK 73401-1357

Phone

(580) 226-7587

Fax

(580) 226-4878

NPI assigned

Sep 20, 2021

Last updated

Jan 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Keith Holliman, PANPI 1447297296

Title

Authorized Official

Phone

(405) 227-1280

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ortho Plus, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Edmond, OK
  • NPI 1962861625

  1052610524

  Same PAC ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13205/brand/1/csg/1/fhir/r4

Practitioners 9

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.

• Brent Keith Holliman, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1447297296
  NPD Authorized official
• Chad Steven Edminsten, ATC, PA-C

  • Medical Physician Assistant
  • Norman, OK
  • NPI 1790986826
  NPD
• Ryan Marc Flanary, PT

  • Physical Therapist
  • Broken Arrow, OK
  • NPI 1609868405
  NPD
• James Jason Jackson, MD

  • Physical Medicine & Rehabilitation Physician
  • Edmond, OK
  • NPI 1760646392
  NPD
• Mark Daniel Johnson, PA-C

  • Surgical Physician Assistant
  • Oklahoma City, OK
  • NPI 1508855677
  NPD
• Kamlesh H Naik, MD

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1588699136
  NPD
• Michael Sean Obrien, D.O.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1164496238
  NPD
• Mark Alan Sheaman, PAC

  • Physician Assistant
  • Ardmore, OK
  • NPI 1417911181
  NPD
• Ryan Thomas Walden, PA

  • Physician Assistant
  • Edmond, OK
  • NPI 1508584681
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1477223451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LILAC DR STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347288",
            "telephone_number": "405-906-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 N COMMERCE ST STE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011357",
            "telephone_number": "580-226-7587",
            "fax_number": "580-226-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "HOLLIMAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "405-227-1280",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Oncology and Hematology, P.C. (Cancer Care Associates)
• Jess Olson
• Oludayo Olusanya, M.D.
• Oms of Southern Oklahoma PLLC
• Christian Jolene Ornelas
• Billy Joe Oshields, CASE MANAGER
• Osu Center for Health Sciences (Osu-Aj Radiology Services of Ardmore Inc)
• Osu Center for Health Sciences (Osu-Aj Forrestal Family Clinic Inc)
• Bailey Overstreet
• Curtis Ray Owen, M.ED.

• Sports Medicine (Orthopaedic Surgery) Physician in Ardmore, OK
• Providers in Ardmore, 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 Jan 20, 2025; 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.