ULTIMATE SPORTS & ORTHOPEDICS (NPI# 1710188818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710188818 |
| Entity Type | Organization |
| Organization Name | ULTIMATE SPORTS & ORTHOPEDICS |
| Practice Address |
1754 N. Roosevelt St. Suite # 300 Guymon OK 73942-2730 |
| Mailing Address |
1754 N Roosevelt St Suite # 300 Guymon OK 73942-2730 |
| Practice Telephone | 5803384400 |
| Practice Fax Number | 5803384402 |
| Mailing Telephone | 5803384400 |
| Mailing Fax Number | 5803384402 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-09-02 |
| Authorized Official Name | DR. JEFFREY ALAN GILLES (OWNER) |
| Authorized Official Telephone | 5803384400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
25543 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1754 N. ROOSEVELT ST. SUITE # 300 |
| City | GUYMON |
| State | OK |
| Zip Code | 73942-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824219 | Joni R Loughridge | Behavior Technician | 1521 Hwy 54 N, 1521 Hwy 54 N, Guymon, OK 73942 | 2019-04-10 |
| 1457839151 | Cassandra J Hegwood | Social Worker | 1521 Hwy 54 N., Guymon, OK 73942 | 2018-08-03 |
| 1083152110 | Charlie A Bell | Counselor | 1521 Highway 54 N., P.o. 1247, Guymon, OK 73942 | 2017-02-09 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1295088961 | Steven Macias | Counselor | 305 Nw 5th, Guymon, OK 73942 | 2012-10-18 |
| 1588982946 | Maria R. Reyes | Counselor | 306 N.w. 5th St., Guymon, OK 73942 | 2010-05-11 |
| 1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 1245449339 | Judy Clemans | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| 1992828776 | United Discount Drug of Guymon, Inc. | Durable Medical Equipment & Medical Supplies | 1902 N. Academy Street, Guymon, OK 73942 | 2007-04-09 |
| Find all providers in zip 73942 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558564542 | David Yung-ping Chong | Orthopaedic Surgery | 940 N.e. 13th Street, Suite 2009/mri 2000, Ouhsc Dept of Pediatric Orthopedics, Oklahoma City, OK 73104 | 2007-06-07 |
| 1033422332 | Mark Steven Schwartz | Orthopaedic Surgery | 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | 2010-07-15 |
| 1285945998 | Steven Andrew Brown | Orthopaedic Surgery | 6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 | 2010-06-28 |
| 1912132390 | James Richard Gregory | Orthopaedic Surgery | 1200 Childrens Ave, Suite 3a, Oklahoma City, OK 73104-4637 | 2009-05-28 |
| 1831397124 | Mark Billy Willits | Orthopaedic Surgery | 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | 2007-07-07 |
| 1801935671 | Thomas R Lewis | Orthopaedic Surgery | 1200 N Phillips Ave, Oucp3100, Oklahoma City, OK 73104-4600 | 2007-02-06 |
Please comment or provide details below to improve the information on ULTIMATE SPORTS & ORTHOPEDICS.
| 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.