Upper Extremity Orthopedic Specialists PLLC
Orthopaedic Surgery, Hand Surgery in Tulsa, OK. Organization (NPI-2).
Details
- NPI
- 1962011999
- Entity type
- Organization (NPI-2)
- Legal business name
- Upper Extremity Orthopedic Specialists PLLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | – | – | Yes |
| 207X00000X | Orthopaedic Surgery | – | – |
Practice location
2448 E 81st St Ste 1300Tulsa, OK 74137-4305
Phone 918-550-8950 · Fax 918-550-8952
Mailing address
2448 E 81st St Ste 1300Tulsa, OK 74137-4305
Phone 918-550-8950 · Fax 918-550-8952
Authorized official
Brent C Nossaman
Owner
9186339439
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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