THE ORTHOPAEDIC CENTER (NPI# 1477971315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477971315 |
| Entity Type | Organization |
| Organization Name | THE ORTHOPAEDIC CENTER |
| Practice Address |
8803 S 101st East Ave Suite 100 Tulsa OK 74133-5726 |
| Mailing Address |
1809 E 13th St Suite 100 Tulsa OK 74104-4419 |
| Practice Telephone | 9183013160 |
| Mailing Telephone | 9185826800 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | JUSTIN CLARY (CEO) |
| Authorized Official Telephone | 9189253224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100746990A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336479716 | The Orthopaedic Center | Clinic/Center | 1809 E 13th St, Suite 100, Tulsa, OK 74104-4419 | 2010-01-06 |
| 1205880291 | The Orthopaedic Center | Physical Medicine & Rehabilitation | 927 Franklin St Se, Huntsville, AL 35801-4306 | 2006-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | The Orthopaedic Center of Central Virginia Inc. | 2405 Atherholt Rd, Lynchburg, Virginia 24501 |
| Oklahoma Business Registrations | THE ORTHOPAEDIC CENTER, P.C. | 1265 S Utica Ste 100, Tulsa, OK 74104 |
| Street Address |
8803 S 101ST EAST AVE SUITE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497755540 | Christy Bennett | Family Medicine | 8803 S 101st East Ave, Suite 370, Tulsa, OK 74133-5726 | 2005-07-29 |
| 1811471303 | Evan Miller | Nurse Practitioner | 8803 S 101st East Ave, Ste 100, Tulsa, OK 74133-7546 | 2018-09-20 |
| 1265899405 | Norton Crna Pllc | Nurse Anesthetist, Certified Registered | 8803 S 101st East Ave, Tulsa, OK 74133-5726 | 2016-01-19 |
| 1114325685 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 8803 S 101st East Ave, Ste 300, Tulsa, OK 74133-5726 | 2014-12-15 |
| 1740545722 | Timmeni Lynn Stevens | Obstetrics & Gynecology | 8803 S 101st East Ave, Ste 205, Tulsa, OK 74133-5730 | 2012-07-06 |
| 1023380110 | William F Burnside | Specialist/Technologist, Other | 8803 S 101st East Ave, Ste 320, Tulsa, OK 74133-5726 | 2012-02-03 |
| 1386947604 | Southcrest LLC | Clinic/Center | 8803 S 101st East Ave, Suite 160, Tulsa, OK 74133-5726 | 2010-12-08 |
| 1528375995 | Em Madd, LLC | Internal Medicine | 8803 S 101st East Ave, Suite 383, Tulsa, OK 74133-5726 | 2010-09-08 |
| 1912212481 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave, Suite 350, Tulsa, OK 74133-5726 | 2010-08-09 |
| 1609016898 | Erin Kathleen Moritz | Physician Assistant | 8803 S 101st East Ave, Suite 335, Tulsa, OK 74133-5726 | 2009-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1407266075 | Leoncio Raymond | Specialist | 2217 E 59th Str Apt# 624, Tulsa, OK 74105 | 2014-05-05 |
| 1548682644 | Ladd C. Atkins, D.o., P.l.l.c | Specialist | 9641 Riverside Pkwy, A, Tulsa, OK 74137-7441 | 2014-01-09 |
| 1861732919 | Alisha La'trice Mcconnell | Specialist | 1128 N Braden Ave, Tulsa, OK 74115-6417 | 2013-02-27 |
| 1477892024 | Lavonda D Coffey | Specialist | 145 S 36th West Ave, Tulsa, OK 74127-8123 | 2013-02-01 |
| 1891030169 | Advanced Invasive Pain Management of Houston | Specialist | 3558 E 51st St, Tulsa, OK 74135-3518 | 2012-11-28 |
| 1679825806 | Shannen Michon Peters | Specialist | 1822 E Young St, Tulsa, OK 74110-2050 | 2012-10-11 |
| 1912201641 | Dawn Rochelle Demott | Specialist | 7409 E 84th St, Tulsa, OK 74133-6632 | 2011-01-10 |
| 1740598671 | Me Hoen Smith, PC | Specialist | 4629 S. Harvard, Suite A, Tulsa, OK 74135 | 2010-09-14 |
| 1023329604 | Mark A Birdsong Pllc | Specialist | 1809 E. 13th St., Ste.400, Tulsa, OK 74104-4431 | 2010-06-29 |
| 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.