SURGICAL SPECIALISTS OF OKLAHOMA PLLC (NPI# 1164601241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164601241 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALISTS OF OKLAHOMA PLLC |
| Other Organization Name | SHARTEL CLINIC |
| Practice Address |
1211 N Shartel Ave Ste 300 Oklahoma City OK 73103-2400 |
| Mailing Address |
Po Box 268848 Oklahoma City OK 73126-8848 |
| Practice Telephone | 4052422101 |
| Practice Fax Number | 4058429612 |
| Mailing Telephone | 4058424850 |
| Mailing Fax Number | 4058429612 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | MR. DAVID F JOHNSON (CEO) |
| Authorized Official Telephone | 4058424850 |
| Is Organization Subpart | Y |
| Parent Organization Name | SURGICAL SPECIALISTS OF OKLAHOMA PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NPI | 1679535470 | 01 |
| OK | NPI | 1790747293 | 01 |
| OK | NPI | 1326000191 | 01 |
| Other Name | Type Code |
|---|---|
| Shartel Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487893541 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 1211 N Shartel Ave Ste 300, Oklahoma City, OK 73103-2425 | 2009-02-13 |
| 1396984456 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 2349 N Thompkins Ave, Bethany, OK 73008-5307 | 2009-02-13 |
| 1437338258 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 3433 Nw 56th St, Bldg B Suite 920, Oklahoma City, OK 73112-4455 | 2007-10-29 |
| 1245419076 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 4200 W Memorial Rd, Ste 501, Oklahoma City, OK 73120-9350 | 2007-10-29 |
| 1134308968 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 9817 S Western Ave, Oklahoma City, OK 73139-2812 | 2007-10-29 |
| 1972782795 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 4140 W Memorial Rd, Ste 611, Oklahoma City, OK 73120-8366 | 2007-10-29 |
| 1730368804 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 3330 Nw 56th St, Ste 608, Oklahoma City, OK 73112-4479 | 2007-10-25 |
| 1447439534 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 4200 W Memorial Rd, Ste 611, Oklahoma City, OK 73120-9350 | 2007-10-25 |
| 1477732568 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 2349 N Thompkins Ave, Bethany, OK 73008-5307 | 2007-10-25 |
| 1902085087 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 5300 N Grand Blvd, Ste 200, Oklahoma City, OK 73112-5647 | 2007-10-25 |
| Street Address |
1211 N SHARTEL AVE STE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133778 | Brenda Kris Mullins | Internal Medicine | 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 | 2005-06-13 |
| 1588175152 | Ascent Health Services LLC | Occupational Therapist | 1211 N Shartel Ave, Oklahoma City, OK 73103-2400 | 2017-10-23 |
| 1285082511 | Dennis E Sandler Md Pllc | Obstetrics & Gynecology | 1211 N Shartel Ave, 602, Oklahoma City, OK 73103-2400 | 2016-05-26 |
| 1487044954 | Ashley Marie Kellert | Marriage & Family Therapist | 1211 N Shartel Ave, Suite 603, Oklahoma City, OK 73103-2400 | 2015-02-04 |
| 1053735035 | Dr B Kris Mullins Md Pllc | Internal Medicine | 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 | 2014-02-11 |
| 1720421852 | Christopher Jack | Speech-Language Pathologist | 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103-2400 | 2013-04-08 |
| 1659613305 | Leroy Young | Preventive Medicine | 1211 N Shartel Ave, Stuite # 500, Oklahoma City, OK 73103-2400 | 2013-03-20 |
| 1013255462 | Chonita Kathleen Gardner | Specialist | 1211 N Shartel Ave, Suite 407, Oklahoma City, OK 73103-2400 | 2013-01-18 |
| 1366789836 | Francis Deason | Occupational Therapy Assistant | 1211 N Shartel Ave, Ste 200, Oklahoma City, OK 73103-2400 | 2013-01-03 |
| 1902141765 | Catalyst Health Clinic L.L.C. | Family Medicine | 1211 N Shartel Ave, Suite 208, Oklahoma City, OK 73103-2400 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1033755426 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103-2612 | 2019-11-21 |
| 1235775628 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13500 S Tulsa Dr Ste 301, Oklahoma City, OK 73170-9721 | 2019-11-21 |
| 1225674617 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3400 S Douglas Blvd Ste 302, Oklahoma City, OK 73150-1018 | 2019-11-21 |
| 1871140822 | Rs Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 8126 W Britton Rd Apt 1, Oklahoma City, OK 73132-1364 | 2019-08-23 |
| 1568015659 | Epic Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1033761366 | Dmeworx LLC | Durable Medical Equipment & Medical Supplies | 3114 Nw 42nd St, Oklahoma City, OK 73112-6224 | 2019-07-16 |
| 1144795634 | Rto Distributors, LLC | Durable Medical Equipment & Medical Supplies | 7725 W Reno Ave Ste 399, Oklahoma City, OK 73127-9712 | 2018-10-10 |
| 1801374822 | Ventilateok LLC | Durable Medical Equipment & Medical Supplies | 4401 Nw 4th St Ste 133, Oklahoma City, OK 73107-6540 | 2018-08-01 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
Please comment or provide details below to improve the information on SURGICAL SPECIALISTS OF OKLAHOMA PLLC.
| 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.