ARDMORE REGIONAL SURGERY CENTER, LLC (NPI# 1376709907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376709907 |
| Entity Type | Organization |
| Organization Name | ARDMORE REGIONAL SURGERY CENTER, LLC |
| Practice Address |
2002 12th Ave Nw Suite C Ardmore OK 73401-1227 |
| Practice Telephone | 5802240007 |
| Practice Fax Number | 5802237140 |
| Mailing Telephone | 5802240007 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | MS. SALLY A GODFREY (ADMINISTRATOR) |
| Authorized Official Telephone | 5802240007 |
| Authorized Official Credential | CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0064 | OK | Ambulatory Health Care Facilities |
| Street Address |
2002 12TH AVE NW SUITE C |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515474 | Bryan Eliot Shapiro | Anesthesiology | 2002 12th Ave Nw, Suite C, Ardmore, OK 73401-1206 | 2005-08-15 |
| 1164756235 | Angela Donnice Amparano | Nurse Practitioner | 2002 12th Ave Nw, Ardmore, OK 73401-1227 | 2009-09-23 |
| 1326281106 | Nicole Elkins | Physician Assistant | 2002 12th Ave Nw, Suite D, Ardmore, OK 73401-1227 | 2009-04-09 |
| 1699974840 | Frederick Alan Dorroh Md PC | Surgery | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2007-07-17 |
| 1932258613 | Southern Oklahoma Podiatry Services Pllc | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2007-01-10 |
| 1760561351 | John Thomas Paul | Physician Assistant | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | 2006-11-03 |
| 1043301153 | James Q. Mcclelland, Dpm, Ppc | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2006-09-27 |
| 1376652032 | W M Parker,pc | Obstetrics & Gynecology | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2006-08-29 |
| 1861506032 | Mary Riley Parker | Obstetrics & Gynecology | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2006-08-18 |
| 1376656546 | Southern Oklahoma Multiple Services Inc P C | Orthopaedic Surgery | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922079896 | Southern Okla Surgical Services | Clinic/Center | 2002 12th Nw, Ste C, Ardmore, OK 73401 | 2006-01-30 |
| 1699767210 | Southern Oklahoma Surgical Center Inc | Clinic/Center | 2412 N Commerce St, Ardmore, OK 73401-1356 | 2005-08-19 |
| 1942292073 | Southern Oklahoma Surgical Center Inc | Clinic/Center | 2412 North Commerce, Ardmore, OK 73401-1356 | 2005-08-16 |
| 1093792681 | Cosmetic Surgery Center of Ardmore LLC | Clinic/Center | 818 16th Ave Nw, Ardmore, OK 73401-1818 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404922 | Ortho Central | Clinic/Center | 3400 W Tecumseh Rd Ste 301, Norman, OK 73072-1812 | 2019-12-16 |
| 1972156842 | Norman Regional Hospital Authority | Clinic/Center | 1125 N Porter Ave Ste 304, Norman, OK 73071-6443 | 2019-07-19 |
| 1508419474 | Norman Regional Hospital Authority | Clinic/Center | 3101 W Tecumseh Rd Ste 100, Norman, OK 73072-1816 | 2019-07-19 |
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 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 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 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 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
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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.