Muskogee Bone & Joint & Sports Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MUSKOGEE BONE & JOINT & SPORTS MEDICINE

Practice address

209 S 36TH St
Muskogee, OK 74401-5043

Phone

(918) 682-7717

Fax

(918) 682-9434

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Katrina Dawn McCroskey

Title

Administrator

Phone

(918) 682-7717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jack Eugene Weaver, MD

  • Interventional Pain Medicine Physician
  • Muskogee, OK
  • NPI 1902802101

  Specialist

  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1700175155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015043",
            "telephone_number": "918-682-7717",
            "fax_number": "918-682-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S 36TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015043",
            "telephone_number": "918-682-7717",
            "fax_number": "918-682-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE BONE & JOINT & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "MCCROSKEY",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-682-7717"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100729610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Murphy
• Christy Murry
• Muskogee Allergy Clinic
• Muskogee Assoc. for the Rights of Citizens W/Developmental Disabled
• Muskogee Assoc. for the Rights of Citizens W/Developmental Disabled
• Muskogee Cancer Clinic Inc PC
• Muskogee Chiropractic Hand & Foot Clinic, LLC (Muskogee Chiropractic Hand & Foot Clinic)
• Muskogee Community Hospital LLC
• Muskogee County Council of Youth Service
• Muskogee County Council of Youth Services

• Specialist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.