EASTERN OKLAHOMA ORTHOPEDIC CENTER INC NPI 1043210305

NPI Information

  • NPI: 1043210305
  • Provider Name: EASTERN OKLAHOMA ORTHOPEDIC CENTER INC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 6475 S YALE AVE
    STE. 301
    TULSA, OK
    ZIP 74136
  • Phone: (918) 494-9300

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NPI Details

EASTERN OKLAHOMA ORTHOPEDIC CENTER INC is an orthopaedic surgery in Tulsa, OK. The provider is 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. EASTERN OKLAHOMA ORTHOPEDIC CENTER INC NPI is 1043210305. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6475 S YALE AVE
STE. 301
TULSA, OK
ZIP 74136-815
Phone: (918) 494-9300
Fax: (918) 494-9355

The provider's authorized official is Jeff Smith .
The authorized official title is Administrator and has the following contact phone number (918) 494-9313.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 4/1/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0005XOrthopaedic SurgerySports MedicineNo
2225100000XPhysical TherapistNo
3207X00000XOrthopaedic SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10706670001MEDICARE NSCOKLAHOMA

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: 11/21/2025

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