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ARDMORE REGIONAL SURGERY CENTER, LLC
NPI 1376709907
Clinic/Center - Ambulatory Surgical in Ardmore, OK

Active since August 04, 2008CLIA 37D0995263 · Waiver
2002 12TH AVE NW, SUITE C, ARDMORE, OK 73401(580) 224-0007(580) 223-7140 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ardmore Regional Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARDMORE REGIONAL SURGERY CENTER, LLC (NPI 1376709907) is a healthcare organization registered as an ambulatory surgical in Ardmore, Oklahoma and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through January 14, 2028 and lists Sally A Godfrey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376709907
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameARDMORE REGIONAL SURGERY CENTER, LLC
Location Address2002 12TH AVE NW, SUITE CArdmore, OK 73401-1227
Mailing Address2002 12th Ave Nw, Suite CArdmore, OK 73401-1227 · (580) 224-0007
Phone(580) 224-0007
Fax(580) 223-7140
Organization SubpartNo
Authorized OfficialSally A GodfreyAdministrator · (580) 224-0007
Enumeration DateAugust 4, 2008
✔ NPI 1376709907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OK · 0064
2002 12TH AVE NW, Ardmore, OK 73401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ardmore Regional Surgery Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date 2

Next revalidation due by November 30, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20140709000431Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
StateOklahomaEnrollment IDO20090225000623Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ardmore Regional Surgery Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Liem Trang, D.O.
Pain Management
NPI 1619084738
3328 N CLASSEN BLVD
Oklahoma City, OK 73118
(405) 524-5200
✔ PECOS✔ Accepts Medicare93 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0995263

Ardmore Regional Surgery Center · Ardmore, OK
Active · expires Jan 14, 2028
CLIA Number37D0995263
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorJ K. Troop
Laboratory Phone(580) 224-0007
Laboratory LocationArdmore Regional Surgery Center2002 12th Ave NW, Suite C, Ardmore, OK 73401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
92 services46 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
64 services36 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
56 services56 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
47 services37 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
32 services17 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
27 services27 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ardmore Regional Surgery Center, LLC's NPI number?

The NPI number for Ardmore Regional Surgery Center, LLC is 1376709907. It was assigned to this organization in the NPPES registry on August 4, 2008.

Where is Ardmore Regional Surgery Center, LLC located?

Ardmore Regional Surgery Center, LLC is located at 2002 12th Ave NW Suite C, Ardmore, OK 73401. The listed phone number is (580) 224-0007.

What is Ardmore Regional Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Ardmore Regional Surgery Center, LLC enrolled in Medicare?

Yes. Ardmore Regional Surgery Center, LLC is registered in the Medicare PECOS enrollment system.

When is Ardmore Regional Surgery Center, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), Ardmore Regional Surgery Center, LLC holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by November 30, 2026 (Non-DME Part B, Oklahoma, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ardmore Regional Surgery Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Ardmore Regional Surgery Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ardmore Regional Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0995263) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ardmore Regional Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ardmore Regional Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ardmore Regional Surgery Center, LLC was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.