Oklahoma Lithotripter Associates, L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0086 Issued in OK

Legal business name

OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.

Doing business as

Oklahoma Kidney Stone Center

Practice address

5401 N Portland Ave Ste 650
Oklahoma City, OK 73112-2081

Phone

(405) 604-4160

Fax

(405) 604-4053

NPI assigned

May 16, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stewart C Burchett

Title

Executive Dir

Phone

(405) 604-4183

Specialties & licenses 2

Addresses

Other names 1

• Oklahoma Kidney Stone Center Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Oklahoma Mobile Lithotripter Associates, L.C.

  • Lithotripsy Clinic/Center
  • Oklahoma City, OK
  • NPI 1639618754
  NPPES parent name

Practitioners 2

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.

• Esber Nabeeh Shea Samara, MD

  • Urology Physician
  • Oklahoma City, OK
  • NPI 1255483319
  NPD
• Jarrett D Kruska, M.D

  • Urology Physician
  • Enid, OK
  • NPI 1497750533
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750597449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE STE 640",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122130",
            "telephone_number": "405-604-4160",
            "fax_number": "405-604-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND AVE STE 650",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122081",
            "telephone_number": "405-604-4160",
            "fax_number": "405-604-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIR",
        "authorized_official_telephone_number": "405-604-4183"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Kidney Stone Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oklahoma Kidney Care Dialysis, LLC
• Oklahoma Kidney Care PC (Oklahoma Kidney Care)
• Oklahoma Kidney Center, Inc. (Internal Medicine Clinic)
• Oklahoma Kids Psychological Service Center
• Oklahoma League for the Blind
• Oklahoma Luna Care Physical Therapy LLC
• Oklahoma Medical Clinic LLC
• Oklahoma Medical Pain Management
• Oklahoma Medical Research Foundation
• Oklahoma Medical Research Foundation (Clincal Genomics Center)

• Ambulatory Surgical Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.