Union Pines Surgery Center,LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0015 Issued in OK

Legal business name

UNION PINES SURGERY CENTER,LLC

Practice address

4808 S 109TH East Ave
Tulsa, OK 74146-5822

Phone

(918) 742-2502

Fax

(918) 745-9750

NPI assigned

Aug 10, 2005

Last updated

Feb 16, 2026By 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

Wesley Stotler, DO

Title

Medical Director

Phone

(918) 742-1457

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Listed as

Union Pines Surgery CenterllcCCN 37C0001001

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Tulsa Bone & Joint Associates PC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1154373132

  Member Of

  NPD member
• Utica Services Inc

  dba Ascension RX 1602

  • Community/Retail Pharmacy
  • Tulsa, OK
  • NPI 1477632149

  Member Of

  NPD member
• Warren Clinic, Inc.

  • Durable Medical Equipment & Medical Supplies
  • McAlester, OK
  • NPI 1245280593

  Member Of

  NPD member

Member organizations 1

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

• Sooner Anesthesia Services LLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1720080401

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Jaafar M Bazih, MD

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1275500415
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1487655627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465822",
            "telephone_number": "918-742-2502",
            "fax_number": "918-745-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 S 109TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465822",
            "telephone_number": "918-742-2502",
            "fax_number": "918-745-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION PINES SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "STOTLER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-742-1457",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000371001 002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8471141",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Lorraine Undieme, MA MFT
• Rachel Dee Unger
• Ungerland Chiropractic Clinic
• Ungerland Chiropractice Clinic
• Frank J. Ungerland III, D.C.
• Union Public Schools
• Unipro Industries, Inc. (Soft)
• Unique Therapy Services
• United Carrier Mobility
• United Speech and Rehabilitative Therapy LLC

• Ambulatory Surgical Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.