Northeast Oklahoma Spine and Sports LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHEAST OKLAHOMA SPINE AND SPORTS LLC

Practice address

6048A S Sheridan Rd
Tulsa, OK 74145-9212

Phone

(918) 518-5013

Fax

(918) 417-7864

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mark Billy Willits, MD

Title

Owner

Phone

(918) 518-5013

Specialties & licenses 1

Addresses

Other names 1

• NORTHEAST OKLAHOMA SPINE AND SPORTS Other name

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1942703665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6048A S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459212",
            "telephone_number": "918-518-5013",
            "fax_number": "918-417-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6048A S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459212",
            "telephone_number": "918-518-5013",
            "fax_number": "918-417-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OKLAHOMA SPINE AND SPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "WILLITS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-518-5013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST OKLAHOMA SPINE AND SPORTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Tulsa Counseling Services, LLC
• Kimberly Gail North, LPN
• Emmaleigh Grace Northcutt, PA-C
• Northeast Oklahoma Eye Institute
• Northeast Oklahoma Hand & Upper Extremity Surgery PLLC
• Northeast Orhtopaedics & Sports Medicine
• Northeastern Retina, P.C.
• Northern Neuromonitoring PLLC
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.

• Orthopaedic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.