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SURGICAL CONSULTANTS OF MUSKOGEE PC NPI 1912032335


NPI Information

NPI: 1912032335
Provider Name: SURGICAL CONSULTANTS OF MUSKOGEE PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
200 S 37TH ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 683-8100
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SURGICAL CONSULTANTS OF MUSKOGEE PC is a specialist in Muskogee, OK. The provider is 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. SURGICAL CONSULTANTS OF MUSKOGEE PC NPI is 1912032335. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 S 37TH ST
MUSKOGEE, OK
ZIP 74401-928
Phone: (918) 683-8100
Fax: (918) 683-8198

The provider's authorized official is Gina Walker .
The authorized official title is Business Manager and has the following contact phone number (918) 683-8100.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 2/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist18093OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F68954MEDICARE UPINOKLAHOMA
2100522024MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
3200004600AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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