Joint Reconstructive Specialist

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3588 Issued in OK

Legal business name

JOINT RECONSTRUCTIVE SPECIALIST

Practice address

3110 SW 89TH St
Ste 200 D
Oklahoma City, OK 73159-7920

Phone

(405) 680-5633

Fax

(405) 735-6435

NPI assigned

Aug 30, 2006

Last updated

Feb 5, 2013By 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

Dr. Paul D Maitino, DO.NPI 1376507665

Title

President

Phone

(405) 680-5633

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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.

• Paul D Maitino, D.O.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1376507665
  Medicare reassignment NPD Authorized official
• Cara Elizabeth Panas, APRN -CNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1538550686
  Medicare reassignment NPD
• Jaime A Johnson, PA-C

  • Medical Physician Assistant
  • Norman, OK
  • NPI 1639192446
  Medicare reassignment
• Stacey Ann Timmons, PA-C

  • Physician Assistant
  • Edmond, OK
  • NPI 1902143183
  Medicare reassignment
• Kristin Redding, PA-C

  • Physician Assistant
  • NPI 1942810197

  OK

  Medicare reassignment

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1629187596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "405-419-8444",
            "fax_number": "405-419-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 SW 89TH ST",
            "address_2": "STE 200 D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597920",
            "telephone_number": "405-680-5633",
            "fax_number": "405-735-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT RECONSTRUCTIVE SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "MAITINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-680-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200038126",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200075360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomieka Michelle Johnwson
• Cherrilleye Joiner, LMFT
• Rachel Joiner
• Sydney Joiner
• Terry L Joiner Jr.
• Camron Jolliff, LPC
• Kevin L Jolliff, MD
• Donna Jolly, LPC-C
• Janice Marie Jolly
• Sherri L Jolly, B.A.

• Orthopaedic Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.