SOUTHWEST ORTHOPAEDIC SPECIALISTS, P.L.L.C. (NPI# 1669559720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669559720 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST ORTHOPAEDIC SPECIALISTS, P.L.L.C. |
| Practice Address |
8100 S Walker Ave Building A Oklahoma City OK 73139-9404 |
| Practice Telephone | 4056324468 |
| Practice Fax Number | 4056314964 |
| Mailing Telephone | 4056324468 |
| Mailing Fax Number | 4056314964 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | JAMES DAVID MOORE (ADMIN) |
| Authorized Official Telephone | 4056324468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| 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 | ||
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100745060A | 05 |
| Street Address |
8100 S WALKER AVE BUILDING A |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-9404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139692 | Anthony Cruse | Orthopaedic Surgery | 8100 S Walker Ave, Bldg A, Oklahoma City, OK 73139-9402 | 2005-07-28 |
| 1174997753 | Anesthesia Partners of Oklahoma, LLC | Anesthesiology | 8100 S Walker Ave, Bldg C, Oklahoma City, OK 73139-9402 | 2015-11-19 |
| 1992174304 | Uap of Oklahoma, Inc. | Nurse Anesthetist, Certified Registered | 8100 S Walker Ave, Bldg C, Oklahoma City, OK 73139-9402 | 2015-09-16 |
| 1366862245 | Somnium Dme LLC | Durable Medical Equipment & Medical Supplies | 8100 S Walker Ave, Building C, Oklahoma City, OK 73139-9402 | 2014-04-18 |
| 1568793412 | Osu Center for Health Sciences | Clinic/Center | 8100 S Walker Ave, Bldg A, Oklahoma City, OK 73139-9402 | 2010-01-15 |
| 1205017530 | Donna A. Johnson, Md, Pllc | Pediatrics | 8100 S Walker Ave, Ste 200, Oklahoma City, OK 73139-9402 | 2007-11-15 |
| 1194934646 | Jessica L Brooks | Specialist/Technologist | 8100 S Walker Ave, Suite B, Oklahoma City, OK 73139-9402 | 2007-05-22 |
| 1740400274 | Nick Knutson Md, A Professional Corporation | Internal Medicine | 8100 S Walker Ave, Building A, Suite 230, Oklahoma City, OK 73139-9402 | 2007-04-26 |
| 1952486292 | Daniel Lee Md | Internal Medicine | 8100 S Walker Ave, Bldg C, Oklahoma City, OK 73139-9402 | 2006-10-26 |
| 1558328559 | Nickey Glenn Knutson | Internal Medicine | 8100 S Walker Ave, Bldg A, Suite 230, Oklahoma City, OK 73139-9402 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| 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 |
|---|---|---|---|---|
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1558623934 | Brian Alan Chenoweth | Orthopaedic Surgery | 825 Ne 10th St # 1c, Oklahoma City, OK 73104-5417 | 2012-06-12 |
| 1295000560 | Keivan Abtahi | Orthopaedic Surgery | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112 | 2012-03-19 |
| 1639455975 | Ralph Edward Payne Jr. | Orthopaedic Surgery | 12604 Maple Ridge Rd., Oklahoma City, OK 73120 | 2011-11-01 |
| 1972807667 | Ghazi M. Rayan, Md, Inc. | Orthopaedic Surgery | 3366 Nw Expressway Ste 700, Oklahoma City, OK 73112-4439 | 2011-01-10 |
| 1225292444 | Ryan Lee Nelson | Orthopaedic Surgery | 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 | 2008-07-16 |
| 1205096369 | Kevin T Grosshans | Orthopaedic Surgery | 920 Stanton L Young Blvd # 1380, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
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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.