Northwest Institute of Sports Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

11348 Issued in OK

Legal business name

NORTHWEST INSTITUTE OF SPORTS MEDICINE

Practice address

4200 W Memorial Rd
Suite 1001
Oklahoma City, OK 73120-9350

Phone

(405) 787-7678

Fax

(405) 751-3367

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gene Lester Muse, M.D.NPI 1962412569

Title

Physician

Phone

(405) 787-7678

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Northwest Institute of Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northwest Institute of Sports Medicine and Orthopaedic Surgery, PC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1528231446
  NPD tax ID

Practitioners 1

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

• Gene L Muse, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Oklahoma City, OK
  • NPI 1962412569
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1760509079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 1001",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-787-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 1001",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-787-7678",
            "fax_number": "405-751-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INSTITUTE OF SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-787-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "11348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "444600470002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Eye Physicians Inc
• Northwest Home Care LLC
• Northwest Home Servic
• Northwest Hospice Care, Inc. (Heart & Soul Hospice)
• Northwest Incorporated (Fairmont)
• Northwest Institute of Sports Medicine and Orthopaedic Surgery, PC
• Northwest Obstetrics and Gynecology PLLC
• Northwest Optical
• Northwest Optical Inc.
• Northwest Otolaryngology

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.