Oklahoma Shoulder Center, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

30929 Issued in OK

Legal business name

OKLAHOMA SHOULDER CENTER, PLLC

Practice address

725 NW 11TH St
Oklahoma City, OK 73103-2429

Phone

(626) 590-6036

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth Nolan, MDNPI 1831319938

Title

President and Ceo

Phone

(626) 590-6036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12936/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Elizabeth McAllister Nolan, MD

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1831319938
  Medicare reassignment NPD Authorized official
• Angela Tiana Essary, APNP, NP-C

  • Family Nurse Practitioner
  • Duncan, OK
  • NPI 1265074975
  Medicare reassignment NPD
• Jessica Elaine Scott, PA

  • Physician Assistant
  • Atlanta, GA
  • NPI 1932542859

  OK

  Medicare reassignment

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1851777544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 NW 11TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NW 11TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032429",
            "telephone_number": "626-590-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SHOULDER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "626-590-6036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "30929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Rehab & Resp
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• Oklahoma Senior Podiatry Services, P.C.
• Oklahoma Sexual Health Clinic
• Oklahoma Sleep & Wellness Clinic, PLLC
• Oklahoma Sleep Associates Physician Services
• Oklahoma Sleep Institute Clinic - Shawnee
• Oklahoma Sleep Institute Clinic - South Okc
• Oklahoma Sleep Institute Clinic - Up

• Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.