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BROKEN ARROW ORTHOPEDICS INC NPI 1245256486


NPI Information

NPI: 1245256486
Provider Name: BROKEN ARROW ORTHOPEDICS INC
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
10507 E 91ST ST STE 350
TULSA, OK
ZIP 74133
Phone: (918) 451-3000
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BROKEN ARROW ORTHOPEDICS INC is a hand surgery orthopaedic surgery in Tulsa, OK. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. BROKEN ARROW ORTHOPEDICS INC NPI is 1245256486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10507 E 91ST ST STE 350
TULSA, OK
ZIP 74133-598
Phone: (918) 451-3000
Fax: (918) 451-2700

The provider's authorized official is Garrett Edward Watts .
The authorized official title is Owner and has the following contact phone number (918) 451-3000.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 6/9/2017.


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
1207XS0106XOrthopaedic SurgeryHand Surgery17528OKLAHOMAYes

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
1C36355MEDICARE UPINOKLAHOMA
2DF1906MEDICARE PIN
3100135870AMEDICAIDOKLAHOMA
4900522076MEDICARE PINOKLAHOMA
50801520001MEDICARE 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: 4/28/2024

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