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

NPI Status: Active since August 04, 2008

Contact Information

2002 12TH AVE NW
SUITE C
ARDMORE, OK
ZIP 73401
Phone: (580) 224-0007
Fax: (580) 223-7140

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 37D0995263
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-14-2028

About ARDMORE REGIONAL SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Ardmore Regional Surgery Center, Llc, a provider established in Ardmore, Oklahoma operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1376709907 assigned on August 2008. The practitioner's primary taxonomy code is 261QA1903X with license number 0064 (OK). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Sally A Godfrey Casc (Administrator)

NPI
1376709907
Provider Name
ARDMORE REGIONAL SURGERY CENTER, LLC
Entity Type
Organization
Location Address
2002 12TH AVE NW SUITE C ARDMORE, OK 73401
Location Phone
(580) 224-0007
Location Fax
(580) 223-7140
Mailing Address
2002 12TH AVE NW SUITE C ARDMORE, OK 73401
Mailing Phone
(580) 224-0007
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-04-2008
Last Update Date
08-04-2008
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
0064
License State
OK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SALLY A GODFREY CASC

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(580) 224-0007

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of prostate gland

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.

This service was performed 24 times for 23 patients

Insertion of spinal neurostimulator electrode array through skin

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.

This service was performed 82 times for 41 patients

Insertion of spinal neurostimulator generator or receiver

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.

This service was performed 51 times for 51 patients

Release and/or relocation of hand nerve

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.

This service was performed 27 times for 25 patients

Removal of cataract with insertion of prosthetic lens

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.

This service was performed 98 times for 56 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D0995263
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 15, 2026
Certificate Expiration Date
January 14, 2028
Laboratory Director
J K. TROOP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ardmore Regional Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1376709907, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 4 + 0 + 1 + 8 + 9 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1376709907.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
2002 12TH AVE NW, SUITE C
ARDMORE, OK 73401
Otolaryngology (Otolaryngic Allergy)
2002 12TH AVE NW
ARDMORE, OK 73401
Orthopaedic Surgery
2002 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Physician Assistant
2002 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Orthopaedic Surgery
2002 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Orthopaedic Surgery
2002 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Anesthesiology
2002 12TH AVE NW, SUITE C
ARDMORE, OK 73401
Anesthesiology
2002 12TH AVE NW, SUITE C
ARDMORE, OK 73401
Occupational Therapist
2002 12TH AVE NW, STE A
ARDMORE, OK 73401
Physical Therapist
2002 12TH AVE NW, STE A
ARDMORE, OK 73401
Physical Therapist
2002 12TH AVE NW, STE A
ARDMORE, OK 73401
Surgery
2002 12TH AVE NW, STE E
ARDMORE, OK 73401
Surgery
2002 12TH AVE NW, STE E
ARDMORE, OK 73401
Physician Assistant
2002 12TH AVE NW, SUITE D
ARDMORE, OK 73401
Nurse Practitioner (Family)
2002 12TH AVE NW
ARDMORE, OK 73401
Surgery (Vascular Surgery)
2002 12TH AVE NW, SUITE E
ARDMORE, OK 73401
Physician Assistant (Medical)
2002 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Anesthesiology
2002 12TH AVE NW, SUITE C
ARDMORE, OK 73401
Physician Assistant
2002 12TH AVE NW, SUITE B
ARDMORE, OK 73401
Podiatrist (Foot & Ankle Surgery)
2002 12TH AVE NW, SUITE F
ARDMORE, OK 73401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376709907, enumerated as an "organization" on August 04, 2008.

The provider is located at 2002 12TH AVE NW SUITE C ARDMORE, OK 73401 and the phone number is (580) 224-0007.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.