TRIAD SURGERY CENTER LLC NPI 1508862160

NPI Information

NPI: 1508862160
Provider Name: TRIAD SURGERY CENTER LLC

Former Legal Business Name: TRIAD EYE MEDICAL CLINIC AND CATARACT INSTITUTE PLLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6140 S MEMORIAL DR
TULSA, OK
ZIP 74133
Phone: (918) 252-2020
Get Directions

TRIAD SURGERY CENTER LLC is an ambulatory surgical clinic center in Tulsa, OK. TRIAD SURGERY CENTER LLC NPI is 1508862160. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Triad Eye Medical Clinic And Cataract Institute Pllc.

The provider's business location address is:

6140 S MEMORIAL DR
TULSA, OK
ZIP 74133-933
Phone: (918) 252-2020
Fax: (918) 252-7466

The provider's authorized official is Ryan Patrick Conley .
The authorized official title is Owner/manager and has the following contact phone number (918) 687-6600.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 6/26/2019.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0028	OKLAHOMA	Yes

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	CO5028	OTHER	OKLAHOMA	RMEDICARE ID
2	4900008330	OTHER	OKLAHOMA	MEDICARE ID
3	100738620A	MEDICAID	OKLAHOMA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »