NPIMap

Organization Active NPI

Southwest Oklahoma Surgery PLLC

  • Surgery Physician
  • Duncan, OK
National Provider Identifier
1720535933
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
32407 Issued in OK
Legal business name
SOUTHWEST OKLAHOMA SURGERY PLLC
Practice address
3085 Brookwood Avenue
Duncan, OK 73533-1355
Phone
(580) 786-4008
Fax
(580) 786-4012
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Renee D Spurgin
Title
Practice Manager
Phone
(580) 786-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 32407 OK Primary

Addresses

Primary practice location

3085 Brookwood Avenue
Duncan, OK 73533-1355

Mailing address

3085 Brookwood Avenue
Duncan, OK 73533-1355
Phone (580) 786-4008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1720535933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 BROOKWOOD AVENUE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331355",
            "telephone_number": "580-786-4008",
            "fax_number": "580-786-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 BROOKWOOD AVENUE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331355",
            "telephone_number": "580-786-4008",
            "fax_number": "580-786-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OKLAHOMA SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "SPURGIN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "580-786-4008"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "32407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.