Southwest Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0034 Issued in OK

Legal business name

SOUTHWEST AMBULATORY SURGERY CENTER, LLC

Practice address

8125 S. Walker Avenue
Oklahoma City, OK 73139-9476

Phone

(405) 602-6500

Fax

(405) 602-6597

NPI assigned

Sep 16, 2006

Last updated

May 16, 2023By 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

Nicholas Crafts

Title

Officer / Authorized Official

Phone

(832) 729-4009

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Matthew M Diesselhorst, MD

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1104022417
  NPD (past)
• Scott Evan Hassell, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1639448780
  NPD (past)
• Bradley Joe Reddick, DO

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1932310596
  NPD (past)
• Derek Lynn West, DO

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1578511697
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1487750238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399417",
            "telephone_number": "405-606-8890",
            "fax_number": "405-631-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 S. WALKER AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399476",
            "telephone_number": "405-602-6500",
            "fax_number": "405-602-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "CRAFTS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "832-729-4009"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southpointe Family Dentistry PLLC Dba Westmoore Family Dentistry
• Southridge Dental Arts PLLC
• Southside Urology Clinic, P.C.
• Southside Urology Clinic, P.C.
• Susie I Southwell, MED
• Southwest Anesthesia Services, LLC
• Southwest Cardiology Associates, Inc.
• Southwest Chiropractic Center, Inc.
• Southwest Eye Clinic, PLLC
• Southwest Eye Clinic, PLLC

• Ambulatory Surgical Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, 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 May 16, 2023; 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.