Bartlesville Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0069 Issued in OK

Legal business name

BARTLESVILLE SURGERY CENTER, LLC

Practice address

230 SE Howard Ave
Bartlesville, OK 74006-2203

Phone

(918) 331-2800

Fax

(918) 331-2801

NPI assigned

Feb 24, 2006

Last updated

Mar 25, 2013By 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

Terry S Mooney

Title

Administrator

Phone

(918) 331-2807

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Ben Fowler Baker, M.D.

  • Ophthalmology Physician
  • Bartlesville, OK
  • NPI 1922003235
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1942276498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SE HOWARD AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062203",
            "telephone_number": "918-331-2800",
            "fax_number": "918-331-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SE HOWARD AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062203",
            "telephone_number": "918-331-2800",
            "fax_number": "918-331-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLESVILLE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-331-2807"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": "0069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN OR BILLING NUMBER",
            "identifier": "700522075",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100756840A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bartlesville Oral Surgery, PLLC
• Bartlesville Pediatric Occupational Therapy, LLC (: Bartlesville Hope Pediatric Clinic)
• Bartlesville Periodontics and Dental Implants
• Bartlesville Physicians Care, PLLC (Bartlesville Urgent Care)
• Bartlesville Radiation Therapy, Inc.
• Monica Pearl Bassett, CADC
• Kathleen Bates
• Nathan S Bates, RN
• Cameron Baughman, LPN
• Caden A Baughn

• Ambulatory Surgical Clinic/Center in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.