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MUSKOGEE BONE & JOINT & SPORTS MEDICINE
NPI 1700175155
Specialist in Muskogee, OK

Active since April 06, 2011
209 S 36TH ST, MUSKOGEE, OK 74401(918) 682-7717(918) 682-9434 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

Other Providers at the Same Location NPPES 10

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

JOHN V TEDESCO DO PA
Surgery
209 S 36TH ST, SUITE A
MUSKOGEE, OK 74401
Muskogee County (918) 913-9513
FRED MICHAEL RUEFER MD
Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-7717
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Orthopaedic Surgery
209 S 36TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-7717
FRED M RUEFER, MD PC
Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-7717
JENNIFER MILLER ATC, LAT, OTC, NREMT
Specialist/Technologist (Athletic Trainer)
209 S 36TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-7717
GUY E. GROOMS, M.D., P.C.
Specialist
209 S 36TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-7717
DENNIS RIVERO MD
Orthopaedic Surgery
209 S 36TH ST, SUITE A
MUSKOGEE, OK 74401
Muskogee County (918) 683-8288
JACK E WEAVER, MD PC
Internal Medicine (Sports Medicine)
209 S 36TH ST
MUSKOGEE, OK 74401
Muskogee County (918) 682-7717

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 Muskogee Bone & Joint & Sports Medicine's NPI number?

The NPI number for Muskogee Bone & Joint & Sports Medicine is 1700175155. It was assigned to this organization in the NPPES registry on April 6, 2011.

Where is Muskogee Bone & Joint & Sports Medicine located?

Muskogee Bone & Joint & Sports Medicine is located at 209 S 36th St, Muskogee, OK 74401. The listed phone number is (918) 682-7717.

What is Muskogee Bone & Joint & Sports Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Muskogee Bone & Joint & Sports Medicine was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.