Unknown Individual – Orthopaedic Surgery of the Spine Physician, NPI 1023097276

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Orthopaedic Surgery of the Spine Physician. They hold a License No. 24277 (OK). The NPI Number for Unknown Individual is 1023097276

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023097276
Phone
(918) 488-6001
Address
6600 S YALE AVE
Deactivation Date
21 July 2022

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
9185024720
Graduation Year
1990 (36 years ago)
PAC ID
0941258685
Group Practice PAC ID
8820900293
Professional Enrollment ID
I20050307000372
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States

    STE 1400

    TULSA, OK 741363310

    Phone: (918) 488-6001

    Fax: (918) 488-6010

    Type: Mailing

  • 200, South Yale Avenue, White City, Tulsa, Tulsa County, Oklahoma, 74112, United States

    TULSA, OK 741367816

    Phone: (918) 494-4460

    Fax: (918) 494-4442

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74136)

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Provider's Procedures

Unknown Individual performs procedures in Orthopaedic Surgery of the Spine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOK73562X-ray of knee, 3 views1613

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820900293View full group profile
NameSpecialtyState
General SurgeryAZ
-OK
Physician AssistantOK
Physician AssistantOK
Nurse PractitionerOK
-OK
-OK
Internal Medicine, Cardiovascular Disease (Cardiology)OK
Nurse PractitionerOK
P O D I A T R YOK

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1023097276 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Tulsa, Oklahoma; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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