Organization Active NPI

Tulsa Orthopedic Surgeons

  • Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1619982063
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TULSA ORTHOPEDIC SURGEONS
Practice address
9709 E 79TH St South
Tulsa, OK 74133
Phone
(918) 994-4000
Fax
(918) 994-4090
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Kristy L Eagan
Title
Ceo
Phone
(918) 994-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

9709 E 79TH St South
Tulsa, OK 74133

Mailing address

9709 E 79TH St South
Tulsa, OK 74133
Phone (918) 994-4000

Other names 1

  • The Spine and Orthopedic Institute Doing business as

National Provider Directory

National Provider Directory

Locations

802 S Jackson Ave
Ste 130
Tulsa, OK 74127
Phone (918) 599-7100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1619982063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 E 79TH ST SOUTH",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-994-4000",
            "fax_number": "918-994-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 E 79TH ST SOUTH",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-994-4000",
            "fax_number": "918-994-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA ORTHOPEDIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "EAGAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-994-4000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine and Orthopedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2010; 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.