Organization Active NPI

Surgical Specialists of Oklahoma PLLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1730368804
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Practice address
3330 NW 56TH St
Ste 608
Oklahoma City, OK 73112-4479
Phone
(405) 242-2101
Fax
(405) 242-2180
NPI assigned
Oct 25, 2007
Organization subpart
Yes
Parent organization
SURGICAL SPECIALISTS OF OKLAHOMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Mrs. Angela Cosby
Title
Ceo
Phone
(405) 842-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3330 NW 56TH St
Ste 608
Oklahoma City, OK 73112-4479

Mailing address

PO Box 7570
Edmond, OK 73083-7570
Phone (405) 842-4850

Other identifiers 1

IdentifierTypeStateIssuer
1265492144OtherOKNPI

National Provider Directory

National Provider Directory
Part of
Surgical Specialists of Oklahoma

Locations

3330 NW 56th St
Ste 608
Oklahoma City, OK 73112
Phone (405) 242-2101

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1730368804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7570",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730837570",
            "telephone_number": "405-842-4850",
            "fax_number": "405-242-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "STE 608",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-242-2101",
            "fax_number": "405-242-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF OKLAHOMA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURGICAL SPECIALISTS OF OKLAHOMA",
        "enumeration_date": "2007-10-25",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-842-4850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265492144",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2009; 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.