NPIMap

Organization Active NPI

Oklahoma Weight Loss Surgery, PLLC

  • Surgery Physician
  • Broken Arrow, OK
National Provider Identifier
1720355357
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10249 Issued in OK
Legal business name
OKLAHOMA WEIGHT LOSS SURGERY, PLLC
Practice address
705 W Queens St
Broken Arrow, OK 74012-1767
Phone
(918) 252-2800
Fax
(918) 252-2888
NPI assigned
Nov 28, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Luis V Gorospe, MDNPI 1356377824
Title
Physician/Owner
Phone
(918) 252-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 10249 OK Primary

Addresses

Primary practice location

705 W Queens St
Broken Arrow, OK 74012-1767

Mailing address

8177 S Harvard Ave # 518
Tulsa, OK 74137-1612
Phone (918) 252-2800

National Provider Directory

National Provider Directory

Locations

705 W Queens St
Broken Arrow, OK 74012
Phone (918) 252-2800

8177 S Harvard Ave
#518
Tulsa, OK 74137

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1720355357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8177 S HARVARD AVE # 518",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741371612",
            "telephone_number": "918-252-2800",
            "fax_number": "918-252-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W QUEENS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121767",
            "telephone_number": "918-252-2800",
            "fax_number": "918-252-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA WEIGHT LOSS SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "GOROSPE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "918-252-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "10249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.