Ultimate Sports & Orthopedics

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

25543 Issued in OK

Legal business name

ULTIMATE SPORTS & ORTHOPEDICS

Practice address

1754 N. Roosevelt St.
Suite # 300
Guymon, OK 73942-2730

Phone

(580) 338-4400

Fax

(580) 338-4402

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Alan Gilles, M.D.

Title

Owner

Phone

(580) 338-4400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1710188818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 N ROOSEVELT ST",
            "address_2": "SUITE # 300",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422730",
            "telephone_number": "580-338-4400",
            "fax_number": "580-338-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 N. ROOSEVELT ST.",
            "address_2": "SUITE # 300",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739422730",
            "telephone_number": "580-338-4400",
            "fax_number": "580-338-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SPORTS & ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "GILLES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-338-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OK",
            "license": "25543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Next Step Network
• The Next Step Network
• The Next Step Network
• Daniel Thrall
• Jacob Lee Tuttle, PT
• United Discount Drug of Guymon, Inc. (United Discount Drug)
• Destini Jamae Utley
• Katlin Vaughan
• Ramiro X Vela
• Yareli Villa

• Pediatric Orthopaedic Surgery Physician in Guymon, OK
• Providers in Guymon, OK by specialty
• Pediatric Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.