1578103727 NPI number — CURRY ORTHOPEDICS AND SPORTS MEDICINE PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578103727 NPI number — CURRY ORTHOPEDICS AND SPORTS MEDICINE PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURRY ORTHOPEDICS AND SPORTS MEDICINE PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578103727
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
919 COLONY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ADA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74820-2329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-235-0299
Provider Business Mailing Address Fax Number:
580-235-0297

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
919 COLONY DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-235-0299
Provider Business Practice Location Address Fax Number:
580-235-0297
Provider Enumeration Date:
01/15/2020

Additional Information

Authorized Official

Authorized Official Last Name:
CURRY
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
CODY
Authorized Official Title or Position:
ORTHOPEDIC SURGEON
Authorized Official Telephone Number:
580-235-0299

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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