NORTHEAST ORHTOPAEDICS & SPORTS MEDICINE (NPI# 1306968839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306968839 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ORHTOPAEDICS & SPORTS MEDICINE |
| Practice Address |
6312 E 101st Street Tulsa OK 74137 |
| Mailing Address |
6312 E 101st Street Tulsa OK 74137-5726 |
| Practice Telephone | 9187012000 |
| Practice Fax Number | 9188936202 |
| Mailing Telephone | 9187012000 |
| Mailing Fax Number | 9188936202 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | DR. JERRY J COLE (PRESIDENT) |
| Authorized Official Telephone | 9187012000 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 900522113 | 05 |
| Street Address |
6312 E 101ST STREET |
| City | TULSA |
| State | OK |
| Zip Code | 74137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1942703665 | Northeast Oklahoma Spine and Sports LLC | Orthopaedic Surgery | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2018-03-09 |
| 1710279724 | Brett Allen Barrick | Orthopaedic Surgery | 2424 E 21st St Ste 320, Tulsa, OK 74114-1722 | 2011-05-09 |
| 1104139328 | Warren Clinic, Inc | Orthopaedic Surgery | 10507 East 91st Street, Suite 450, Tulsa, OK 74133 | 2010-07-16 |
| 1467770610 | Gary Charles Hassmann | Orthopaedic Surgery | 8206 East 74th Court, Tulsa, OK 74133 | 2010-05-12 |
| 1700042892 | Denny E Krout Do Inc | Orthopaedic Surgery | 8523 E 11th St Ste A2, Tulsa, OK 74112-7947 | 2008-07-29 |
| 1528122413 | Clint Justin Basener | Orthopaedic Surgery | 6130 E 81st St, Tulsa, OK 74137 | 2006-12-21 |
| 1518077502 | Eugene Gray Feild II | Orthopaedic Surgery | 6600 South Yale Avenue, Suite 1315, Tulsa, OK 74136 | 2006-08-30 |
| 1619982063 | Tulsa Orthopedic Surgeons | Orthopaedic Surgery | 9709 E 79th St South, Tulsa, OK 74133 | 2006-07-31 |
| 1245244052 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 4502 E. 41st Street, 2g08, Ou Physicians Tulsa-clinical Services, Tulsa, OK 74134-2553 | 2006-07-28 |
| Find all providers in TULSA | ||||
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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.