SOUTHEASTERN OKLAHOMA SPORTS MEDICINE, PLLC
NPI 1124345665
Physical Medicine & Rehabilitation - Sports Medicine in Durant, OK
NPI Status: Active since April 23, 2010
Contact Information
1705 N WASHINGTON AVE
SUITE C
DURANT, OK
ZIP 74701
Phone: (580) 924-1414
Fax: (580) 931-0300
- Organization
- Physical Medicine & Rehabilitation
- Sports Medicine
About SOUTHEASTERN OKLAHOMA SPORTS MEDICINE, PLLC
This page provides the complete NPI Profile along with additional information for Southeastern Oklahoma Sports Medicine, Pllc, a provider established in Durant, Oklahoma operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1124345665 assigned on April 2010. The practitioner's primary taxonomy code is 2081S0010X with license number 24887 (OK). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Brian K Rich M.d. (President)
- NPI
- 1124345665
- Provider Name
- SOUTHEASTERN OKLAHOMA SPORTS MEDICINE, PLLC
- Entity Type
- Organization
- Location Address
- 1705 N WASHINGTON AVE SUITE C DURANT, OK 74701
- Location Phone
- (580) 924-1414
- Location Fax
- (580) 931-0300
- Mailing Address
- 1705 N WASHINGTON AVE SUITE C DURANT, OK 74701
- Mailing Phone
- (580) 924-1414
- Mailing Fax
- (580) 931-0300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2010
- Last Update Date
- 04-23-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Sports Medicine
- Taxonomy Code
- 2081S0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24887
- License State
- OK
- Taxonomy Description
- A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1063436947 | MEDICAID (05) | OK | |
| 24887 | OTHER (01) | OR | MEDICAL LICENSE |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124345665, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124345665, enumerated as an "organization" on April 23, 2010.
The provider is located at 1705 N WASHINGTON AVE SUITE C DURANT, OK 74701 and the phone number is (580) 924-1414.
Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
