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Contact Information

CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC
6585 S YALE AVE
STE 200
TULSA, OK74136-8384
 Phone: 918-481-2767
 Fax: 918-481-7639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC

NPI Number 1922081959
LBN Legal business name CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC
Authorized official DAVID LONG - (ADMINISTRATOR CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2005
Last updated 10/15/2011 - About 15 years ago
Identifiers
OK License # 18573
OK Medicaid 100031720A
Other 3724437 NCPDP PROVIDER IDENTIFICATION NUMBER
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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