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OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC NPI 1497007322


NPI Information

NPI: 1497007322
Provider Name: OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 37D1104604

Address:
2220 W IOWA AVE
CHICKASHA, OK
ZIP 73018
Phone: (405) 360-6764
Get Directions

OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC is an orthopaedic surgery in Chickasha, 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. OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC NPI is 1497007322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2220 W IOWA AVE
CHICKASHA, OK
ZIP 73018-738
Phone: (405) 360-6764
Fax: (405) 360-6769

The provider's authorized official is Brandon Penick .
The authorized official title is Director Of Operations and has the following contact phone number (405) 360-6764.

The CLIA number assigned to this NPI record is 37D1104604 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 10/2/2012.


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
1207X00000XOrthopaedic SurgeryYes

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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