Southwest Orthopaedic Specialists, PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC

Doing business as

SOS Spine, Pain & Wellness Institute

Practice address

401 SW 80TH St BLDG. D
Suite 200
Oklahoma City, OK 73139-8123

Phone

(405) 619-4470

Fax

(405) 900-5363

NPI assigned

Nov 16, 2022

Last updated

Dec 4, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLCAs reported in NPPES

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

Authorized official

Name

Joe Streich

Title

Ceo

Phone

(405) 619-4410

Specialties & licenses 3

Addresses

Other names 1

• SOS Spine, Pain & Wellness Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southwest Orthopaedic Specialists, P.L.L.C.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1669559720

  9931180346

  Same PAC ID
• Southwest Orthopaedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Chickasha, OK
  • NPI 1962234682

  9931180346

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southwest Orthopaedic Specialists, P.L.L.C.

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1669559720

  O20040601000087

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

SW Orthopaedic Speciali2 organizations share this tax ID, including this one

Part of

SW Orthopaedic Speciali

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Orthopaedic Specialists, PLLC

  dba Southwest Orthopaedic & Reconstructive Specialists

  • Orthopaedic Surgery Physician
  • Cordell, OK
  • NPI 1538544986
  NPD tax ID

Locations

Practitioners 7

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.

• Nicole Jean Carroll, PA

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1336321827
  NPD
• Douglas Dewindt, PA

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1033858436
  NPD
• Christina Felarca, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1255884268
  NPD
• Kyle Evan Hollingsworth, PA

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1700826419
  NPD
• Ryann Lynn Paxson, APRN

  • Family Nurse Practitioner
  • Moore, OK
  • NPI 1528523362
  NPD
• Jayme Lynne Royston-Locke, PA

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1801847165
  NPD
• Trysten Thompson

  • Medical Physician Assistant
  • Oklahoma City, OK
  • NPI 1710670377
  NPD

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1750090064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399475",
            "telephone_number": "405-632-4468",
            "fax_number": "405-632-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SW 80TH ST BLDG. D",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731398123",
            "telephone_number": "405-619-4470",
            "fax_number": "405-900-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "STREICH",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-619-4410"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS Spine, Pain & Wellness Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southwest Oklahoma MRI, LLC
• Southwest Orthopaedic Specialists, P.L.L.C.
• Southwest Orthopaedic Specialists, PLLC
• Southwest Orthotic Lab, LLC
• Southwest Pediatric Dental Associates, PLLC
• Southwest Pediatrics and Allergy
• Southwest Pediatrics, PLLC

• Pain Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.