Unknown Individual – Orthopaedic Surgery Physician, NPI 1790786630
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2488 E 81ST ST STE 290
TULSA, OK 741374265
Phone: (918) 494-2665
Fax: (918) 927-3201
Type: Location
301, South Yale Avenue, White City, Tulsa, Tulsa County, Oklahoma, 74112, United States
TULSA, OK 74136
Phone: (918) 494-9300
Fax: (918) 494-9355
Type: Location
East 81st Street, Oak Tree Village, Tulsa, Tulsa County, Oklahoma, 74012, United States
TULSA, OK 741374265
Phone: (918) 927-3226
Fax: (918) 927-3193
Type: Mailing
6475 S Yale Ave Ste 301
Tulsa, OK 74136
Phone: (918) 494-9300
Fax: (918) 494-9355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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 74137)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OK | 73562 | X-ray of knee, 3 views | 13 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OK | |
| - | OK | |
| Physical Therapist In Private Practice | OK | |
| Physical Therapist In Private Practice | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| Physical Therapist In Private Practice | OK | |
| - | OK | |
| - | TN | |
| Physical Therapist In Private Practice | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.