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Contact Information

SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE
1504 E SHAWNEE CIRCLE
TAHLEQUAH, OK74464
 Phone: 918-453-0023
 Fax: 918-453-0027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE

NPI # 1720153315
LBN Legal business name SOUTHERN PLAINS ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE
Authorized official PAUL BIZZLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 05/29/2008 - About 18 years ago
Identifiers
OK License # 3240
OK Other 0516550001 CIGNA GOVERNMENT SERVICES
OK Other 200033584 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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