UNION PINES SURGERY CENTER,LLC
NPI 1487655627
Clinic/Center - Ambulatory Surgical in Tulsa, OK

Q: What is Union Pines Surgery Center,llc's NPI number?

The NPI number for Union Pines Surgery Center,llc is 1487655627. It was assigned to this organization in the NPPES registry on August 10, 2005.

Q: What is Union Pines Surgery Center,llc's specialty?

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

Active since August 10, 2005CLIA 37D0474427 · Waiver

4808 S 109TH EAST AVE, TULSA, OK 74146(918) 742-2502(918) 745-9750 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Union Pines Surgery Center,llc NPPES

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

UNION PINES SURGERY CENTER,LLC (NPI 1487655627) is a healthcare organization registered as an ambulatory surgical in Tulsa, Oklahoma and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Wesley Stotler, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487655627

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameUNION PINES SURGERY CENTER,LLC

Location Address4808 S 109TH EAST AVETulsa, OK 74146-5822

Mailing Address4808 S 109th East AveTulsa, OK 74146-5822 · (918) 742-2502 · Fax (918) 745-9750

Phone(918) 742-2502

Fax(918) 745-9750

Organization SubpartNo

Authorized OfficialWesley StotlerMedical Director · (918) 742-1457

Enumeration DateAugust 10, 2005

Last NPPES UpdateFebruary 16, 2026

NPPES CertifiedFebruary 16, 2026

✔ NPI 1487655627 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 · 0015

4808 S 109TH EAST AVE, Tulsa, OK 74146

Open in Google Maps ↗

Other Identifiers 2

Other8471141OK · Aetna

Other000371001 002OK · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, UnitedHealthcare.Insurance ›

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 37D0474427

Union Pines Surgery Center · Tulsa, OK

Active · expires Aug 31, 2026

CLIA Number37D0474427

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorWesley Stotler

Laboratory Phone(918) 742-2502

Laboratory LocationUnion Pines Surgery Center4808 S 109th E Ave, Tulsa, OK 74146

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 27

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.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

7,448 services55 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

942 services442 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

202 services68 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

176 services141 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

170 services88 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

145 services109 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

119 services112 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

95 services77 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

86 services86 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.

79 services63 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

54 services24 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

48 services48 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

46 services45 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

40 services31 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

34 services34 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

32 services32 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

28 services27 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

28 services28 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

26 services25 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

23 services23 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

21 services20 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

21 services15 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

17 services17 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

15 services14 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

15 services14 patients

Manipulation of knee joint under anesthesia 27570

Manipulation of the knee joint under anesthesia is a procedure done to improve knee mobility. You are put to sleep and the doctor moves your knee in different directions to break up scar tissue. This helps to increase range of motion and reduce stiffness.

13 services12 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.

12 services11 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA LEE ANDREWS CRNA

Nurse Anesthetist, Certified Registered

4808 S 109TH EAST AVE
TULSA, OK 74146

Tulsa County (918) 742-2502

STACEY LONG PT

Physical Therapist

4808 S 109TH EAST AVE, SUITE 100
TULSA, OK 74146

Tulsa County (918) 392-1482

LINDSEY HORTON PTA

Physical Therapy Assistant

4808 S 109TH EAST AVE
TULSA, OK 74146

Tulsa County (918) 392-1400

MS. TIFFANY NICHOLE CRUM D.P.T.

Physical Therapist

4808 S 109TH EAST AVE
TULSA, OK 74146

Tulsa County (918) 258-5000

MICHELLE LYNN FUQUA PT

Physical Therapist

4808 S 109TH EAST AVE, SUITE 100
TULSA, OK 74146

Tulsa County (918) 392-1482

MRS. TONYA RIDLEY PT, MPT, CKTP

Physical Therapist

4808 S 109TH EAST AVE
TULSA, OK 74146

Tulsa County (918) 392-1482

SARA MURRAY PT

Physical Therapist

4808 S 109TH EAST AVE, SUITE 100
TULSA, OK 74146

Tulsa County (918) 392-1482

TAYLOR OWENS AMPLEFORD DNP-A, CRNA

Nurse Anesthetist, Certified Registered

4808 S 109TH EAST AVE
TULSA, OK 74146

Tulsa County (918) 302-2921

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 Union Pines Surgery Center,llc's NPI number?

The NPI number for Union Pines Surgery Center,llc is 1487655627. It was assigned to this organization in the NPPES registry on August 10, 2005.

Where is Union Pines Surgery Center,llc located?

Union Pines Surgery Center,llc is located at 4808 S 109th East Ave, Tulsa, OK 74146. The listed phone number is (918) 742-2502.

What is Union Pines Surgery Center,llc's specialty?

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

Does Union Pines Surgery Center,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0474427) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Union Pines Surgery Center,llc accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Union Pines 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 Union Pines Surgery Center,llc was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

About Union Pines Surgery Center,llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 2

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 37D0474427

Areas of Expertise CMS Part B claims 27

Other Providers at the Same Location NPPES 9

Frequently Asked Questions NPPES & CMS

What is Union Pines Surgery Center,llc's NPI number?

Where is Union Pines Surgery Center,llc located?

What is Union Pines Surgery Center,llc's specialty?

Does Union Pines Surgery Center,llc hold a CLIA laboratory certificate?

What insurance does Union Pines Surgery Center,llc accept?

When was this NPI record last updated?

Certificate of Waiver 37D0474427