Oklahoma Orthopedics & Sports Medicine

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

3030 Issued in OK

Legal business name

OKLAHOMA ORTHOPEDICS & SPORTS MEDICINE

Practice address

1533 N Harrison St
Shawnee, OK 74804-4011

Phone

(405) 273-3300

Fax

(405) 273-3339

NPI assigned

Jan 22, 2007

Last updated

Mar 10, 2008By 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

Robert Gunderson, MDNPI 1598748907

Title

Doctor

Phone

(405) 273-3300

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Robert J Gunderson, D.O.

  • Orthopaedic Surgery Physician
  • Chickasha, OK
  • NPI 1598748907
  NPD (past) Authorized official
• Michael J Gibson, P.A.-C.

  • Medical Physician Assistant
  • Holdenville, OK
  • NPI 1487681201
  NPD (past)
• Aaron Clay Wade, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1083695639
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1558415240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044011",
            "telephone_number": "405-273-3300",
            "fax_number": "405-273-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044011",
            "telephone_number": "405-273-3300",
            "fax_number": "405-273-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA ORTHOPEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-273-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OK",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Mental Health Council (Red Rock Behavioral Health Services, Inc.)
• Oklahoma Mental Health Council (Red Rock Behavioral Health Services)
• Oklahoma Mental Health Council (Red Rock Behavioral Health Services Inc.)
• Oklahoma Mental Health Council (Red Rock Behavioral Health Services)
• Oklahoma Mental Health Council (Red Rock Behavioral Health Services)
• Oklahoma Rehabilitation Clinic
• Oklahoma Speech Consultants, PLLC (Latitude Learning and Therapy Institute)
• Oklahoma Spine Diagnostic and Pain Treatment Center PLLC
• Oklahoma Sports and Orthopedics Institute PLLC
• Leanna Rae Olsen, R.N., C.M.T.

• Sports Medicine (Orthopaedic Surgery) Physician in Shawnee, OK
• Providers in Shawnee, 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 Mar 10, 2008; 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.