EASTERN OKLAHOMA SURGERY CENTER LLC (NPI# 1083607360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083607360 |
| Entity Type | Organization |
| Organization Name | EASTERN OKLAHOMA SURGERY CENTER LLC |
| Practice Address |
5020 E 68th St Tulsa OK 74136-3307 |
| Practice Telephone | 9184921539 |
| Practice Fax Number | 9185234751 |
| Mailing Telephone | 9184921539 |
| Mailing Fax Number | 9185234751 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES E HEINBERG (PRESIDENT) |
| Authorized Official Telephone | 9184921539 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0035 | OK | Ambulatory Health Care Facilities |
| Street Address |
5020 E 68TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065331 | Anthony Edward Loehr | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2005-07-07 |
| 1730797143 | Akhilandeshwari Sivaswami | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2020-07-22 |
| 1790298115 | Mary Michelle Ballard | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-11-07 |
| 1033633078 | Kyle Andrew Harber | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-08-01 |
| 1497282826 | Eastern Oklahoma Ear, Nose, and Throat | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-05-16 |
| 1356898712 | Megan D. Ellwood | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2016-09-02 |
| 1194114884 | Megan Laine Moritz | Physician Assistant | 5020 E 68th St, Tulsa, OK 74136-3307 | 2015-01-18 |
| 1497169734 | Landon Joseph Massoth | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2014-06-15 |
| 1306283635 | Jessica Bever | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2013-05-28 |
| 1790044980 | Osu Center for Health Sciences | Clinic/Center | 5020 E 68th St, Tulsa, OK 74136-3307 | 2012-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1912090218 | Tulsa Hand Surgery Center LLC | Clinic/Center | 2000 S Wheeling, Suite 910, Tulsa, OK 74104-5647 | 2006-10-02 |
| 1417916800 | Tulsa Ok Endoscopy Asc LLC | Clinic/Center | 4200 E Skelly Dr, Suite 100, Tulsa, OK 74135-3247 | 2006-03-22 |
| 1114990736 | Tulsa Ok Ophthalmology Asc LLC | Clinic/Center | 7191 S Yale Ave, Tulsa, OK 74136-6326 | 2006-02-13 |
| 1487655627 | Union Pines Surgery Center,llc | Clinic/Center | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-10 |
| 1205452521 | Seva Surgery Center Oklahoma LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2020-06-23 |
| 1174084982 | South Tulsa Asc, LLC | Clinic/Center | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2019-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.