Three Rivers Surgical Care LP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

THREE RIVERS SURGICAL CARE LP

Practice address

3800 W Okmulgee St
Muskogee, OK 74401-4933

Phone

(918) 682-9899

NPI assigned

Sep 24, 2007

Last updated

Sep 8, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

THREE RIVERS SURGICAL CARE LPAs reported in NPPES

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

Authorized official

Name

Kimberly Wood

Title

Director

Phone

(828) 236-3027

Specialties & licenses 1

Addresses

Other names 1

• HEALTHSOUTH SURGERY CENTER OF MUSKOGEE LP Former legal business name

Part of

Healthsouth Three River

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Three Rivers Surgical Care LP

  • Ambulatory Surgical Clinic/Center
  • Muskogee, OK
  • NPI 1477519262
  NPPES parent name

Practitioners 1

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.

• Sudhir R Daftary, MD

  • Anesthesiology Physician
  • Muskogee, OK
  • NPI 1609978097
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1689860645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W OKMULGEE ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014933",
            "telephone_number": "918-682-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SURGICAL CARE LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS SURGICAL CARE LP",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-236-3027"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOUTH SURGERY CENTER OF MUSKOGEE LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brady Thornton, DMD
• Bryce Thornton, COTA
• Three Forks Emergency Physicians
• Three Rivers Health Center Muskogee
• Three Rivers Surgical Care LP
• Danielle Tice-Phillips, M.S. CF-SLP
• Shelly D Tidwell, REGISTERED NURSE
• Jodie Lynne Tiger
• Matthew Lee Tiger
• Brandi Timmerman

• Certified Registered Nurse Anesthetist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.