Active NPI
Ciec Investments LLC
Doing business as Surg4life
- Surgical Physician Assistant
- Skiatook, OK
National Provider Identifier
1902454549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- CIEC INVESTMENTS LLC
- Doing business as
- Surg4life
- Practice address
- 8409 Summit Ave
Skiatook, OK 74070-5540 - Phone
- (918) 808-0583
- Fax
- (918) 396-2090
- NPI assigned
- Aug 27, 2019
- Last updated
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss C PSH, CSFA
- Title
- Manager
- Phone
- (918) 808-0583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
8409 Summit Ave
Skiatook, OK 74070-5540
Mailing address
8409 Summit Ave
Skiatook, OK 74070-5540
Phone (918) 808-0583
Other practice location 1
1303 W Rogers Blvd Ste D
Skiatook, OK 74070-4307
Phone (918) 808-0583
Other names 1
- Surg4life
National Provider Directory
National Provider DirectoryLocations
1303 W Rogers Blvd
Ste D
Skiatook, OK 74070
Phone (918) 808-0583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1902454549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 SUMMIT AVE",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740705540",
"telephone_number": "918-808-0583",
"fax_number": "918-396-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8409 SUMMIT AVE",
"city": "SKIATOOK",
"state": "OK",
"postal_code": "740705540",
"telephone_number": "918-808-0583",
"fax_number": "918-396-2090"
}
],
"practiceLocations": [
{
"address_1": "1303 W Rogers Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Skiatook",
"state": "OK",
"postal_code": "740704307",
"country_code": "US",
"telephone_number": "918-808-0583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CIEC INVESTMENTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "PSH",
"authorized_official_first_name": "C",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "918-808-0583",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Surg4life",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Surg4life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Skiatook, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.