LASER SPINE SURGERY CENTER OF OKLAHOMA, LLC (NPI# 1326335811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326335811 |
| Entity Type | Organization |
| Organization Name | LASER SPINE SURGERY CENTER OF OKLAHOMA, LLC |
| Practice Address |
4727 Gaillardia Parkway Suite 150 Oklahoma City OK 73142 |
| Mailing Address |
5332 Avion Park Drive Tampa FL 33607 |
| Practice Telephone | 4057084085 |
| Practice Fax Number | 4842531790 |
| Mailing Telephone | 8136822944 |
| Mailing Fax Number | 4842531790 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2017-01-25 |
| Authorized Official Name | MICHAEL W PERRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8132899613 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LSI HOLDCO, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
4727 GAILLARDIA PARKWAY SUITE 150 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| 1346448644 | Andrea Sage Miller | Internal Medicine | 13150 North Macarthur, Oklahoma City, OK 73142 | 2007-07-07 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 1326379967 | Weir Asc, LLC | Clinic/Center | 9913 S May Avenue, Oklahoma City, OK 73159-7900 | 2010-01-21 |
| 1467659250 | Joe Dan Metcalf | Clinic/Center | 12400 Saint Andrews Dr, Oklahoma City, OK 73120-8601 | 2007-06-27 |
| 1750597449 | Oklahoma Lithotripter Associates, L.c. | Clinic/Center | 5401 N Portland Ave Ste 650, Oklahoma City, OK 73112-2081 | 2007-05-16 |
| 1083837926 | Heritage Eye Surgery Center, LLC | Clinic/Center | 6922 S. Western, Suite 102, Oklahoma City, OK 73139-1890 | 2007-04-10 |
| 1487750238 | Southwest Ambulatory Surgery Center, LLC | Clinic/Center | 8125 S. Walker Avenue, Oklahoma City, OK 73139-9476 | 2006-09-16 |
| 1043253263 | Ddsi South Aec LLC | Clinic/Center | 4201 South Western, Ste. 4000, Oklahoma City, OK 73109-3410 | 2006-06-14 |
| 1093771909 | Foundation Surgery Affiliate of Northwest Oklaho | Clinic/Center | 14000 N. Portland Avenue, Suite 100, Oklahoma City, OK 73134-4004 | 2006-04-21 |
| 1801856471 | St Anthony North Ambulatory Surgical Center L L C | Clinic/Center | 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 | 2006-03-27 |
| 1306827464 | Oklahoma Surgery and Urology Center | Clinic/Center | 5401 N Portland Ave, Suite 100, Oklahoma City, OK 73112-2082 | 2005-11-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
Please comment or provide details below to improve the information on LASER SPINE SURGERY CENTER OF OKLAHOMA, LLC.
| 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.