Organization Active NPI

Stillwater Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Stillwater, OK
National Provider Identifier
1851398465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STILLWATER SURGERY CENTER, LLC
Practice address
5200 W 6TH Ave
Stillwater, OK 74074-6701
Phone
(405) 780-7000
Fax
(405) 780-7708
NPI assigned
Jun 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doug Blessen
Title
Administrator
Phone
(405) 780-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OK Primary

Addresses

Primary practice location

5200 W 6TH Ave
Stillwater, OK 74074-6701

Mailing address

5200 W 6TH Ave
Stillwater, OK 74074-6701
Phone (405) 780-7000

National Provider Directory

National Provider Directory

Locations

5200 W 6th Ave
Stillwater, OK 74074
Phone (405) 780-7000

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851398465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746701",
            "telephone_number": "405-780-7000",
            "fax_number": "405-780-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740746701",
            "telephone_number": "405-780-7000",
            "fax_number": "405-780-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLESSEN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-780-7000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.