Active NPI
Upper Extremity Orthopedic Specialists PLLC
- Orthopaedic Hand Surgery Physician
- Tulsa, OK
National Provider Identifier
1962011999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- Legal business name
- UPPER EXTREMITY ORTHOPEDIC SPECIALISTS PLLC
- Practice address
- 2448 E 81St St Ste 1300
Tulsa, OK 74137-4305 - Phone
- (918) 550-8950
- Fax
- (918) 550-8952
- NPI assigned
- Jul 27, 2020
- 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
- Brent C Nossaman, DO
- Title
- Owner
- Phone
- (918) 633-9439
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | Primary |
Addresses
Primary practice location
2448 E 81St St Ste 1300
Tulsa, OK 74137-4305
Mailing address
2448 E 81St St Ste 1300
Tulsa, OK 74137-4305
Phone (918) 550-8950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
2448 E 81st St
Ste 1300
Tulsa, OK 74137
Phone (918) 524-0080
2448 E 81st St
Ste 200
Tulsa, OK 74137
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Tulsa, OK
- NPI 1720048945
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1316905250
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1013974757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1962011999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 E 81ST ST STE 1300",
"city": "TULSA",
"state": "OK",
"postal_code": "741374305",
"telephone_number": "918-550-8950",
"fax_number": "918-550-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 E 81ST ST STE 1300",
"city": "TULSA",
"state": "OK",
"postal_code": "741374305",
"telephone_number": "918-550-8950",
"fax_number": "918-550-8952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPPER EXTREMITY ORTHOPEDIC SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-27",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "NOSSAMAN",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-633-9439",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.