NPIMap

Organization Active NPI

Surgical Specialists of Oklahoma, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1790932002
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
3705 NW 63Rd
Ste. 212
Oklahoma City, OK 73116-0000
Phone
(405) 608-4300
Fax
(405) 608-4302
NPI assigned
Aug 19, 2008
Organization subpart
Yes
Parent organization
SURGICAL SPECIALISTS OF OKLAHOMA, PLLCAs 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

3705 NW 63Rd
Ste. 212
Oklahoma City, OK 73116-0000

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
1891764197OtherOKNPI
1073655221OtherOKNPI
1083685630OtherOKNPI
1316901838OtherOKNPI
1881666220OtherOKNPI
1356305882OtherOKNPI

National Provider Directory

National Provider Directory
Tax ID family
Surgical Specialists of Oklahoma6 organizations share this tax ID, including this one
Part of
Surgical Specialists of Oklahoma

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1790932002",
    "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": "3705 NW 63RD",
            "address_2": "STE. 212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731160000",
            "telephone_number": "405-608-4300",
            "fax_number": "405-608-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF OKLAHOMA, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURGICAL SPECIALISTS OF OKLAHOMA, PLLC",
        "enumeration_date": "2008-08-19",
        "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": "1891764197",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073655221",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083685630",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316901838",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881666220",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356305882",
            "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.