NPIMap

Organization Active NPI

GP Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lawton, OK
National Provider Identifier
1477551745
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0027 Issued in OK
Legal business name
GP SURGERY CENTER, LLC
Practice address
5404 Southwest Lee Boulevard
Suite 100
Lawton, OK 73505-9521
Phone
(580) 536-7533
Fax
(580) 536-7535
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Katherine L. Reed
Title
Authorized Official
Phone
(972) 763-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0027 OK Primary

Addresses

Primary practice location

5404 Southwest Lee Boulevard
Suite 100
Lawton, OK 73505-9521

Mailing address

5404 Southwest Lee Boulevard
Suite 100
Lawton, OK 73505-9521
Phone (580) 536-7533

Other identifiers 4

IdentifierTypeStateIssuer
200008100AMedicaidOK
490005778OtherOKRAILROAD MEDICARE
000371019001OtherOKBLUE CROSS PROVIDER NUMBE
000371019001OtherBLUE CROSS

Other names 1

  • Great Plains Ambulatory Surgery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1477551745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 SOUTHWEST LEE BOULEVARD",
            "address_2": "SUITE 100",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059521",
            "telephone_number": "580-536-7533",
            "fax_number": "580-536-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 SOUTHWEST LEE BOULEVARD",
            "address_2": "SUITE 100",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059521",
            "telephone_number": "580-536-7533",
            "fax_number": "580-536-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200008100A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490005778",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000371019001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000371019001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Plains Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.