MUSKOGEE BONE & JOINT & SPORTS MEDICINE - NPI 1700175155

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Muskogee Bone & Joint & Sports Medicine NPPES

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

MUSKOGEE BONE & JOINT & SPORTS MEDICINE (NPI 1700175155) is a healthcare organization registered as a specialist in Muskogee, Oklahoma and active in the NPI registry since April 2011. The organization lists Katrina Dawn Mccroskey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700175155

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMUSKOGEE BONE & JOINT & SPORTS MEDICINE

Location Address209 S 36TH STMuskogee, OK 74401-5043

Mailing Address209 S 36th StMuskogee, OK 74401-5043 · (918) 682-7717 · Fax (918) 682-9434

Phone(918) 682-7717

Fax(918) 682-9434

Organization SubpartNo

Authorized OfficialKatrina Dawn MccroskeyAdministrator · (918) 682-7717

Enumeration DateApril 6, 2011

✔ NPI 1700175155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

209 S 36TH ST, Muskogee, OK 74401

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Other Identifiers 2

Medicare PIN600522062OK

Medicaid100729610AOK

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