Southern Plains Orthopaedic and Sports Medicine Institute

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3240 Issued in OK

Legal business name

SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE

Practice address

1504 E Shawnee Circle
Tahlequah, OK 74464

Phone

(918) 453-0023

Fax

(918) 453-0027

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Bizzle, DO

Title

Owner

Phone

(918) 453-0023

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1720153315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 E SHAWNEE CIRCLE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-453-0023",
            "fax_number": "918-453-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 E SHAWNEE CIRCLE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-453-0023",
            "fax_number": "918-453-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "BIZZLE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-453-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0516550001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200033584",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Nixon Snidow, DDS
• Madyson Blair Snow, APRN-CNP
• Tyler Snyder, DO
• Sonya L Cornwell PHD Clinical Psychologist PLLC
• Sylvia Soto, M.D.
• Lily Grace Southern
• Jane Mechelle Speed, DMD
• Josh Spencer
• Jeremy E Sprague, LPN
• Melissa Sprangle

• Orthopaedic Surgery Physician in Tahlequah, OK
• Providers in Tahlequah, 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 May 29, 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.