JOINT RECONSTRUCTIVE SPECIALIST
NPI 1629187596
Orthopaedic Surgery in Oklahoma City, OK

Active since August 30, 2006CLIA 37D2096023 · Waiver
3110 SW 89TH ST, STE 200 D, OKLAHOMA CITY, OK 73159(405) 680-5633(405) 735-6435 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joint Reconstructive Specialist NPPES

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

JOINT RECONSTRUCTIVE SPECIALIST (NPI 1629187596) is a healthcare organization registered as an orthopaedic surgery in Oklahoma City, Oklahoma and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Paul D Maitino, President, as its authorized official.

NPPES Registry Identity

NPI1629187596
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJOINT RECONSTRUCTIVE SPECIALIST
Location Address3110 SW 89TH ST, STE 200 DOklahoma City, OK 73159-7920
Mailing AddressPo Box 108809Oklahoma City, OK 73101-8809 · (405) 419-8444 · Fax (405) 419-7797
Fax(405) 735-6435
Organization SubpartNo
Authorized OfficialPaul D MaitinoPresident · (405) 680-5633
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 5, 2013
NPI 1629187596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OK · 3588
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3110 SW 89TH ST, Oklahoma City, OK 73159

Other Identifiers 3

Medicaid200075360AOK
Other200038126OK · Medicare Railroad
Medicare PIN400522450OK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 37D2096023

Joint Reconstructive Specialist · Oklahoma City, OK
Active · expires May 13, 2027
CLIA Number37D2096023
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorPaul D. Maitino
Laboratory Phone(000) 405-6805
Laboratory LocationJoint Reconstructive Specialist3110 SW 89th Street, Ste 200D, Oklahoma City, OK 73159
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3110 SW 89TH ST, 102
OKLAHOMA CITY, OK 73159
Physical Medicine & Rehabilitation
3110 SW 89TH ST, SUITE 102
OKLAHOMA CITY, OK 73159
Physician Assistant
3110 SW 89TH ST
OKLAHOMA CITY, OK 73159
Orthopaedic Surgery (Sports Medicine)
3110 SW 89TH ST, SUITE 200C
OKLAHOMA CITY, OK 73159
Nurse Practitioner (Pediatrics)
3110 SW 89TH ST, SUITE 200B
OKLAHOMA CITY, OK 73159
Orthopaedic Surgery
3110 SW 89TH ST, SUITE 200C
OKLAHOMA CITY, OK 73159
Orthopaedic Surgery
3110 SW 89TH ST, STE 200 D
OKLAHOMA CITY, OK 73159
Physical Medicine & Rehabilitation
3110 SW 89TH ST, SUITE 102 C
OKLAHOMA CITY, OK 73159

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 Joint Reconstructive Specialist's NPI number?

The NPI number for Joint Reconstructive Specialist is 1629187596. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Joint Reconstructive Specialist located?

Joint Reconstructive Specialist is located at 3110 SW 89th St Ste 200 D, Oklahoma City, OK 73159. The listed phone number is (405) 680-5633.

What is Joint Reconstructive Specialist's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Joint Reconstructive Specialist hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2096023) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Joint Reconstructive Specialist accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Joint Reconstructive Specialist 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 Joint Reconstructive Specialist was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.