OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C. (NPI# 1750597449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750597449 |
Entity Type | Organization |
Organization Name | OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C. |
Other Organization Name | OKLAHOMA KIDNEY STONE CENTER |
Practice Address |
5401 N Portland Ave Ste 650 Oklahoma City OK 73112-2081 |
Mailing Address |
5401 N Portland Ave Ste 640 Oklahoma City OK 73112-2130 |
Practice Telephone | 4056044160 |
Practice Fax Number | 4056044053 |
Mailing Telephone | (405) 604-4160 |
Mailing Fax Number | 4056044053 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2017-05-22 |
Authorized Official Name | STEWART C BURCHETT (EXECUTIVE DIR) |
Authorized Official Telephone | 4056044183 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0086 | OK | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Oklahoma Kidney Stone Center | Doing Business As Name - Organization |
Street Address |
5401 N PORTLAND AVE STE 650 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-2081 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
1326379967 | Weir Asc, LLC | Clinic/Center | 9913 S May Avenue, Oklahoma City, OK 73159-7900 | 2010-01-21 |
1467659250 | Joe Dan Metcalf | Clinic/Center | 12400 Saint Andrews Dr, Oklahoma City, OK 73120-8601 | 2007-06-27 |
1083837926 | Heritage Eye Surgery Center, LLC | Clinic/Center | 6922 S. Western, Suite 102, Oklahoma City, OK 73139-1890 | 2007-04-10 |
1487750238 | Southwest Ambulatory Surgery Center, LLC | Clinic/Center | 8125 S. Walker Avenue, Oklahoma City, OK 73139-9476 | 2006-09-16 |
1043253263 | Ddsi South Aec LLC | Clinic/Center | 4201 South Western, Ste. 4000, Oklahoma City, OK 73109-3410 | 2006-06-14 |
1093771909 | Foundation Surgery Affiliate of Northwest Oklaho | Clinic/Center | 14000 N. Portland Avenue, Suite 100, Oklahoma City, OK 73134-4004 | 2006-04-21 |
1801856471 | St Anthony North Ambulatory Surgical Center L L C | Clinic/Center | 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 | 2006-03-27 |
1306827464 | Oklahoma Surgery and Urology Center | Clinic/Center | 5401 N Portland Ave, Suite 100, Oklahoma City, OK 73112-2082 | 2005-11-07 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73112 |
Please comment or provide details below to improve the information on OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C..
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.