Organization Active NPI

Central States Orthopedic Specialists, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tulsa, OK
National Provider Identifier
1609826148
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC.
Practice address
6585 S Yale Ave
Suite 200
Tulsa, OK 74136-8384
Phone
(918) 481-2767
Fax
(918) 481-7611
NPI assigned
May 12, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Fox, CPC
Title
Director of Revenue Cycle
Phone
(918) 481-7616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6585 S Yale Ave
Suite 200
Tulsa, OK 74136-8384

Mailing address

6585 S Yale Ave
Suite 200
Tulsa, OK 74136-8384
Phone (918) 481-2767

Other identifiers 1

IdentifierTypeStateIssuer
100744260AMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1609826148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-481-2767",
            "fax_number": "918-481-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-481-2767",
            "fax_number": "918-481-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "918-481-7616",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744260A",
            "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 Nov 30, 2009; 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.