Central States Orthopedic Specialists, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC

Practice address

6585 S Yale Ave
Ste 200
Tulsa, OK 74136-8384

Phone

(918) 481-2767

Fax

(918) 481-7639

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David R. Long

Title

Administrator Ceo

Phone

(918) 481-7644

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 8

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

• Stephen M. Ackerley, M.D.

  • Orthopaedic Hand Surgery Physician
  • Muskogee, OK
  • NPI 1891778767

  Orthopaedic Surgery

  NPD (past)
• Timothy Gilcrest, PA-C, MPAS

  • Surgical Physician Assistant
  • Muskogee, OK
  • NPI 1902829310
  NPD (past)
• Brian C. Howard, M.D.

  • Orthopaedic Surgery Physician
  • Owasso, OK
  • NPI 1649253402

  Orthopaedic Surgery

  NPD (past)
• Kenneth W. Roberts, P.T.

  • Orthopedic Physical Therapist
  • Stillwater, OK
  • NPI 1942284021
  NPD (past)
• Michael W. Tanner, M.D.

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1568445328

  Orthopaedic Surgery

  NPD (past)
• Lynda D Banwart, NP-C

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1851328769
  NPD (past)
• Ian F. Gunyea, PA-C

  • Surgical Physician Assistant
  • Tacoma, WA
  • NPI 1447233978
  NPD (past)
• Thomas A. Monko, P.A.

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1487622759
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1922081959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-481-2767",
            "fax_number": "918-481-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 S YALE AVE",
            "address_2": "STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368384",
            "telephone_number": "918-481-2767",
            "fax_number": "918-481-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "918-481-7644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OK",
            "license": "18573",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3724437",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031720A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centerpoint Behavioral Health Systems
• Centerpoint Wellness Services of Texas
• Central Oklahoma Oral & Maxillofacial Surgery Associates of Tulsa, PC
• Central State Community Services Oklahoma
• Central States Orthopedic Specialists, Inc
• Central States Orthopedic Specialists, Inc.
• Central States Orthopedic Specialists, Inc.
• Tamara Cephas
• Cerberus Surgical, PLLC
• Oliver Cerqueira, D.O.

• All providers in Tulsa, OK
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.