Organization Active NPI

Specialists Surgery Center LLC

Doing business as Physicians Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1730172230
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0051 Issued in OK
Legal business name
SPECIALISTS SURGERY CENTER LLC
Doing business as
Physicians Surgery Center
Practice address
5925 NW 139TH St
Oklahoma City, OK 73142-1922
Phone
(405) 621-8800
Fax
(405) 621-8802
NPI assigned
Aug 30, 2005
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. Charles Coker
Title
Administrator
Phone
(405) 621-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0051 OK Primary

Addresses

Primary practice location

5925 NW 139TH St
Oklahoma City, OK 73142-1922

Mailing address

5925 NW 139TH St
Oklahoma City, OK 73142-1922
Phone (405) 621-8800

Other names 1

  • Physicians Surgery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1730172230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 NW 139TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421922",
            "telephone_number": "405-621-8800",
            "fax_number": "405-621-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 NW 139TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731421922",
            "telephone_number": "405-621-8800",
            "fax_number": "405-621-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-621-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.