ORTHOPEDIC CENTER OF MUSKOGEE


Address: 3900 West Broadway, Muskogee, OK 74401
Phone: 9186866600

ORTHOPEDIC CENTER OF MUSKOGEE (NPI# 1316010150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316010150
Entity Type Organization
Organization Name ORTHOPEDIC CENTER OF MUSKOGEE
Practice Address 3900 West Broadway
Muskogee
OK 74401
Practice Telephone 9186866600
Practice Fax Number 9186866601
Mailing Telephone 9186866600
Mailing Fax Number 9186866601
Enumeration Date 2006-11-17
Last Update Date 2008-04-16
Authorized Official Name CLINT FOREST KIRK (DOCTOR)
Authorized Official Telephone 9186866600
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK RAILROAD MEDICARE P00007143 01

Office Location

Street Address 3900 WEST BROADWAY
City MUSKOGEE
State OK
Zip Code 74401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508486978 Economy Pharmacy Pharmacy 3414 W. Okmulgee, Muskogee, OK 74401 2020-04-25
1831678390 Jaclyn Drass Nurse Practitioner 201 N 32nd St, Muskogee, OK 74401 2018-08-07
1225530710 Cliffetta J Harrison Case Management 619 N Main St., Muskogee, OK 74401 2018-03-01
1255700720 Wesley B Higgs Physical Therapist 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 2015-09-15
1699163626 Dependable Medical Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 122 S. 38th, Muskoqee, OK 74401 2014-12-29
1134529928 Mednow Urgent Care Center LLC Clinic/Center 550 W Shawnee St, Muskogee, OK 74401 2014-08-28
1447676770 Ruby Johns Counselor 403 N 24th, Muskogee, OK 74401 2014-03-11
1417393380 Andreka Pace Counselor 223 W Southside Boulevard, Muskogee, OK 74401 2013-05-17
1730438342 Gordon Keith Harlin Social Worker 619 N Main, Muskogee, OK 74401 2012-08-29
1740565928 Channing Kathleen Burke Counselor 741 South 32nd Street, Muskogee, OK 74401 2011-10-19
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942659982 Orthopedic Solutions Pllc Orthopaedic Surgery 101 S Saints Blvd, Suite 101, Edmond, OK 73034-3081 2016-06-09
1548620529 Ortho Plus Holdings LLC Orthopaedic Surgery 1730 Shedeck Parkway, Ste 105, Yukon, OK 73099 2016-03-03
1962861625 Ortho Plus, LLC Orthopaedic Surgery 941 W I 35 Frontage Rd, Ste A-d, Edmond, OK 73034-7364 2016-02-23
1396076022 Small Properties Lc Orthopaedic Surgery 2007 N Commerce St Ste 201, Ardmore, OK 73401-1394 2010-01-20
1437393931 Neal Charles Small Orthopaedic Surgery 2007 N Commerce St, Suite 201, Ardmore, OK 73401-1268 2009-04-28
1558415240 Oklahoma Orthopedics & Sports Medicine Orthopaedic Surgery 1533 N Harrison St, Shawnee, OK 74804-4011 2007-01-22
1962412569 Gene L Muse Orthopaedic Surgery 4200 W Memorial Road, Ste 1001, Oklahoma City, OK 73120 2006-08-08
1891709747 James Clarke Mayoza Orthopaedic Surgery 6122 E 61st St, Tulsa, OK 74136-2117 2006-07-28
1326049719 Brett C Barnes Orthopaedic Surgery 110 Nw 31st St Fl 2, Lawton, OK 73505-6100 2005-08-09
1194198192 Northeastern State University Orthopaedic Surgery 603 N Grand Ave, Tahlequah, OK 74464-2302 2015-11-12
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Competitor

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City MUSKOGEE
Zip Code 74401

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Dataset Information

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.

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