Southeastern Oklahoma Orthopedics – Orthopaedic Surgery Physician, NPI 1730435413

Southeastern Oklahoma Orthopedics is a healthcare provider. based in Naples, Florida. specializing in Orthopaedic Surgery Physician. The NPI Number for Southeastern Oklahoma Orthopedics is 1730435413

Main info

Organization
Name
Southeastern Oklahoma Orthopedics
NPI
1730435413
Phone
(239) 598-3131
Address
5811 PELICAN BAY BLVD
Authorized Official
MR. MICHAEL L GINGRAS CREDENTIALING MANAGER
Enumeration Date
31 July 2012
Last Update Date
27 November 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Southeastern Oklahoma Orthopedics

  • 5811 PELICAN BAY BLVD

    SUITE 500

    NAPLES, FL 341082733

    Phone: (239) 598-3131

    Fax: (239) 592-0438

    Type: Mailing

  • 1805 W UNIVERSITY BLVD

    DURANT, OK 747013011

    Phone: (580) 920-0300

    Fax: (580) 931-2258

    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.

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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 34108)

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Reviews

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Frequently asked questions

Can I verify Southeastern Oklahoma Orthopedics with an NPI only?
You can start verification with NPI 1730435413 for Southeastern Oklahoma Orthopedics, then check state licensing separately.
Does CMS list Southeastern Oklahoma Orthopedics as active?
Yes — Southeastern Oklahoma Orthopedics is active in the NPI listing used on this page.
What is Southeastern Oklahoma Orthopedics's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Southeastern Oklahoma Orthopedics here. Clinical services aligned with this taxonomy classification.
Where should I expect Southeastern Oklahoma Orthopedics on a map?
Expect Naples, Florida as a primary anchor for Southeastern Oklahoma Orthopedics unless the record lists multiple sites.
Is the information about Southeastern Oklahoma Orthopedics up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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