Active NPI
Oklahoma Surgical Hospital, LLC
- Diagnostic Radiology Physician
- Tulsa, OK
National Provider Identifier
1578749065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2350
- Legal business name
- OKLAHOMA SURGICAL HOSPITAL, LLC
- Practice address
- 2408 E 81St St
Ste 900
Tulsa, OK 74137-4217 - Phone
- (918) 477-5071
- Fax
- (918) 477-5978
- NPI assigned
- Jan 14, 2008
- Organization subpart
- Yes
- Parent organization
- OKLAHOMA SURGICAL HOSPITAL, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rick Ferguson
- Title
- Ceo
- Phone
- (918) 477-5049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2350 | OK | Primary |
Addresses
Primary practice location
2408 E 81St St
Ste 900
Tulsa, OK 74137-4217
Mailing address
2408 E 81St St
Ste 900
Tulsa, OK 74137-4217
Phone (918) 477-5071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100748450B | Medicaid | OK |
National Provider Directory
National Provider Directory- Tax ID family
- Ok Surgical Hospital LLC
- Part of
- Ok Surgical Hospital LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1487651857
-
- Special Hospital
- Tulsa, OK
- NPI 1619012713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1578749065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 E 81ST ST",
"address_2": "STE 900",
"city": "TULSA",
"state": "OK",
"postal_code": "741374217",
"telephone_number": "918-477-5071",
"fax_number": "918-477-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 E 81ST ST",
"address_2": "STE 900",
"city": "TULSA",
"state": "OK",
"postal_code": "741374217",
"telephone_number": "918-477-5071",
"fax_number": "918-477-5978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKLAHOMA SURGICAL HOSPITAL, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OKLAHOMA SURGICAL HOSPITAL, LLC",
"enumeration_date": "2008-01-14",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-477-5049"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "2350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100748450B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Oklahoma State University Medical Center Trust
- Oklahoma State University Medical Trust
- Oklahoma Surgery Inc.
- Oklahoma Surgery Ind.
- Oklahoma Surgical Hospital, LLC
- Oklahoma Treatment Services LLC
- Oklahoma Vein Center
- Oklahoma Vision Development Center
- Oklahoma Wisdom Teeth Center
- Oklahoma Wound Care JJ PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.