Organization Active NPI

Oklahoma Orthopedic Institute

  • Orthopaedic Surgery Physician
  • Norman, OK
National Provider Identifier
1780770651
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2243 Issued in OK
Legal business name
OKLAHOMA ORTHOPEDIC INSTITUTE
Practice address
1020 24TH Ave NW
Suite 100
Norman, OK 73069-6341
Phone
(405) 447-4999
Fax
(405) 447-5608
NPI assigned
Oct 5, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Tom Wallace Ewing, DO
Title
President
Phone
(405) 447-4999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 2243 OK Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 20902 OK

Addresses

Primary practice location

1020 24TH Ave NW
Suite 100
Norman, OK 73069-6341

Mailing address

1020 24TH Ave NW
Suite 100
Norman, OK 73069-6341
Phone (405) 447-4999

Other identifiers 1

IdentifierTypeStateIssuer
100744280AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1020 24th Ave NW
Ste 100
Norman, OK 73069
Phone (405) 447-4999

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1780770651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 24TH AVE NW",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696341",
            "telephone_number": "405-447-4999",
            "fax_number": "405-447-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 24TH AVE NW",
            "address_2": "SUITE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696341",
            "telephone_number": "405-447-4999",
            "fax_number": "405-447-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA ORTHOPEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-447-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "2243",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OK",
            "license": "20902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100744280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.