Individual provider Active NPI

Callen Ragsdale, PA-C

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Tulsa, OK
National Provider Identifier
1952804288
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
2902 Issued in OK
Practice address
2448 E 81St St Ste 1520
Tulsa, OK 74137-4212
Phone
(918) 900-2520
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 2902 OK Primary

Addresses

Primary practice location

2448 E 81St St Ste 1520
Tulsa, OK 74137-4212

Mailing address

2448 E 81St St Ste 1520
Tulsa, OK 74137-4212
Phone (918) 900-2520

Other names 1

  • Callen Huey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521001489 OK Practitioner - Physician Assistant 2264797307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Orthopedic Specialists of TulsaGroup PAC ID 4385927615, 7 clinicians

Practice addresses (Care Compare)

2448 E 81St St
Suite 1520
Tulsa, OK 74137-4212
Phone (918) 900-2520

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2902OKMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1952804288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 1520",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374212",
            "telephone_number": "918-900-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 1520",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374212",
            "telephone_number": "918-900-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "CALLEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OK",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLEN",
            "last_name": "HUEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.