Ardmore Ortho Plus, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ARDMORE ORTHO PLUS, LLC

Practice address

2419 N Commerce St Ste B
Ardmore, OK 73401-1357

Phone

(580) 226-7587

Fax

(580) 226-4878

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By 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

Brent Keith Holliman, PANPI 1447297296

Title

Manager

Phone

(580) 226-7587

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Brent Keith Holliman, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1447297296
  Medicare reassignment Authorized official
• James Jason Jackson, MD

  • Physical Medicine & Rehabilitation Physician
  • Edmond, OK
  • NPI 1760646392
  Medicare reassignment
• Mark Alan Sheaman, PAC

  • Physician Assistant
  • Ardmore, OK
  • NPI 1417911181
  Medicare reassignment

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1821975764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LILAC DR STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347288",
            "telephone_number": "405-906-3375",
            "fax_number": "405-216-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 N COMMERCE ST STE B",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011357",
            "telephone_number": "580-226-7587",
            "fax_number": "580-226-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE ORTHO PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HOLLIMAN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-226-7587",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardmore Family Dentistry (Storts Family Dentistry-Ardmore)
• Ardmore Family Health Care, PLLC
• Ardmore Family Pharmacy (Reed Family Pharmacy)
• Ardmore Hearing Aid Service, Inc
• Ardmore OBGYN, PLLC
• Ardmore Pet Associates (Ardmore Diagnostic Imaging)
• Ardmore Physical Therapy Inc
• Ardmore Regional Surgery Center, LLC
• Ardmore Vision & Laser Eye Center PC
• Kylie N Armstrong

• Orthopaedic Surgery Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.