Organization Active NPI

Oklahoma Surgical Hospital, LLC

  • Diagnostic Radiology Physician
  • Tulsa, OK
National Provider Identifier
1578749065
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2350 Issued in OK
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100748450BMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Ok Surgical Hospital LLC3 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.