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SOUTHERN OKLAHOMA MULTIPLE SERVICES INC P C NPI 1376656546


NPI Information

NPI: 1376656546
Provider Name: SOUTHERN OKLAHOMA MULTIPLE SERVICES INC P C

Doing Business As: BONE & JOINT CLINIC OF SOUTHERN OKLAHOMA

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2002 12TH AVE NW
SUITE B
ARDMORE, OK
ZIP 73401
Phone: (580) 223-4795
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SOUTHERN OKLAHOMA MULTIPLE SERVICES INC P C is an orthopaedic surgery in Ardmore, 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. SOUTHERN OKLAHOMA MULTIPLE SERVICES INC P C NPI is 1376656546. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bone & Joint Clinic Of Southern Oklahoma.

The provider's business location address is:

2002 12TH AVE NW
SUITE B
ARDMORE, OK
ZIP 73401-206
Phone: (580) 223-4795
Fax: (580) 223-5184

The provider's authorized official is Joel Keith Troop .
The authorized official title is Physician Partner and has the following contact phone number (580) 223-4795.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 5/7/2008.


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
1207X00000XOrthopaedic SurgeryOKLAHOMAYes

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
1=========001OTHEROKLAHOMABLUE CROSS BLUE SHIELD
2100747150AMEDICAIDOKLAHOMA
31224880001MEDICARE NSCOKLAHOMA
4C11578OTHEROKLAHOMARAILROAD MEDICARE
5800522016MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA

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: 5/5/2024

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