SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC (NPI# 1437405081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437405081 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC |
| Practice Address |
1805 Commons Suite C Yukon OK 73099-9519 |
| Mailing Address |
8100 S. Walker Avenue Building A Oklahoma City OK 73139-9404 |
| Practice Telephone | 4052650165 |
| Practice Fax Number | 4052650897 |
| Mailing Telephone | 4056324468 |
| Mailing Fax Number | 4056314964 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | JAMES DAVID MOORE (ADMINISTRATOR) |
| Authorized Official Telephone | 4056324468 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538544986 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1109 N. Glenn English, Cordell, OK 73632 | 2015-07-28 |
| 1881079226 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1900 Country Club Road, El Reno, OK 73036 | 2015-07-28 |
| 1285980821 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 3130 Hayes Ave, Clinton, OK 73601-3601 | 2012-08-01 |
| 1659627289 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 2506 North Harrison Avenue, Shawnee, OK 74804-4022 | 2012-08-01 |
| 1073998415 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 100 Mcdougal Dr, Holdenville, OK 74848-2822 | 2015-07-28 |
| 1487058996 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 625 N Monte Vista St, Ada, OK 74820-4613 | 2014-10-13 |
| 1558761270 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 1000 Kingfisher Regional Hospital Drive, Kingfisher, OK 73750 | 2014-08-29 |
| 1477970986 | Southwest Orthopaedic Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 13 West Main Street, Carnegie, OK 73015 | 2014-03-21 |
| 1598191371 | Southwest Orthopaedic Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 13301 N Meridian Ave, Building 600, Oklahoma City, OK 73120-9369 | 2013-09-24 |
| 1457607004 | Southwest Orthopaedic Specialists, Pllc | Orthopaedic Surgery | 2403 W Wrangler Blvd, Ste A, Seminole, OK 74868-1900 | 2012-08-01 |
| Street Address |
1805 COMMONS SUITE C |
| City | YUKON |
| State | OK |
| Zip Code | 73099-9519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625201 | Bintu Sinju Thomas | Nurse Practitioner | 752 Dana Dr Yukon Oklahoma, Yukon, OK 73099 | 2020-07-02 |
| 1164049185 | Custom Dental of Yukon, Pllc | Clinic/Center | 4425 Grant Blvd, Yukon, OK 73099 | 2020-06-26 |
| 1720600174 | Piedmont Dentistry & Braces | Clinic/Center | 12000 Nw Expressway, Yukon, OK 73099 | 2020-05-08 |
| 1073135588 | Yukon Dentistry & Braces | Clinic/Center | 901 E Main Street, Suite 100, Yukon, OK 73099 | 2020-05-07 |
| 1457998734 | Here At Home Senior Care LLC | In Home Supportive Care | 7709 Nw Expressway Ste B, Yukon, OK 73099 | 2019-12-05 |
| 1255981619 | Mariam Reynolds | Case Manager/Care Coordinator | 7905 Ok-66, El Reno, OK 73099 | 2019-09-18 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1013490689 | Jade Bell | Physical Therapy Assistant | 1000 Desert Trail, Yukon, OK 73099 | 2018-09-10 |
| 1821570250 | Anjoli Tamesha Vanwey | Case Manager/Care Coordinator | 1213 Yuhoma Dr, Yukon, OK 73099 | 2018-09-01 |
| 1194220780 | Michael Lee Lefever | Case Manager/Care Coordinator | 11705 Sw 115th Ter, Yukon, OK 73099 | 2018-03-27 |
| Find all providers in zip 73099 | ||||
| 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 |
|---|---|---|---|---|
| 1578742110 | Corey Edwin Mayo | Orthopaedic Surgery | 1651 Professional Cir, Yukon, OK 73099-6314 | 2007-10-31 |
| 1669450581 | Michael J Davoli II | Orthopaedic Surgery | 1651 Professional Circle, Yukon, OK 73099 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564343 | Murray State College | Orthopaedic Surgery | 1 Murray Campus St, Tishomingo, OK 73460-3137 | 2020-10-05 |
| 1962011999 | Upper Extremity Orthopedic Specialists Pllc | Orthopaedic Surgery | 2448 E 81st St Ste 200, Tulsa, OK 74137-4250 | 2020-07-27 |
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1942703665 | Northeast Oklahoma Spine and Sports LLC | Orthopaedic Surgery | 6048a S Sheridan Rd, Tulsa, OK 74145-9212 | 2018-03-09 |
| 1194262097 | Essential Integrative Health Pllc | Orthopaedic Surgery | 9060 Harmony Dr Ste B, Midwest City, OK 73130-6253 | 2017-01-30 |
| 1679023170 | Bobby Doyce Anthony | Orthopaedic Surgery | 2026 S Walking Trail Dr, Stillwater, OK 74074-1358 | 2016-10-07 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1306211982 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 1624 Midtown Pl, Suite A, Midwest City, OK 73130-6347 | 2015-12-08 |
| Find all providers with the same taxonomy | ||||
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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.