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NORTHWEST INSTITUTE OF SPORTS MEDICINE
NPI 1760509079
Specialist in Oklahoma City, OK

Active since March 23, 2007
4200 W MEMORIAL RD, SUITE 1001, OKLAHOMA CITY, OK 73120(405) 787-7678(405) 751-3367 Get Directions Write a Review

NPPES record last updated: June 19, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northwest Institute Of Sports Medicine NPPES

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

NORTHWEST INSTITUTE OF SPORTS MEDICINE (NPI 1760509079) is a healthcare organization registered as a specialist in Oklahoma City, Oklahoma and active in the NPI registry since March 2007. The organization lists Gene Lester Muse, Physician, as its authorized official.

NPPES Registry Identity

NPI1760509079
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHWEST INSTITUTE OF SPORTS MEDICINE
Location Address4200 W MEMORIAL RD, SUITE 1001Oklahoma City, OK 73120-9350
Mailing Address4200 W Memorial Rd, Suite 1001Oklahoma City, OK 73120-9350 · (405) 787-7678
Phone(405) 787-7678
Fax(405) 751-3367
Organization SubpartNo
Authorized OfficialGene Lester MusePhysician · (405) 787-7678
Enumeration DateMarch 23, 2007
Last NPPES UpdateJune 19, 2009
✔ NPI 1760509079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OK · 11348
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.

4200 W MEMORIAL RD, Oklahoma City, OK 73120
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Other Identifiers 5

Medicare ID-Type Unspecified444600470OK
Medicare UPIND35082OK
Medicare NSC0757480001OK
Medicaid200061670AOK
Other444600470002OK · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 Compliance 37D0881154

Northwest Surgical Hospital · Oklahoma City, OK
Active · expires Mar 30, 2027
CLIA Number37D0881154
Laboratory TypeHospital
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorLy Luu
Laboratory Phone(405) 848-1918
Laboratory LocationNorthwest Surgical Hospital9204 North May Ave, Oklahoma City, OK 73120
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 37D0699747

Northwest Pediatrics Of Oklahoma City · Oklahoma City, OK
Active · expires Nov 29, 2026
CLIA Number37D0699747
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorCarla J. Hardzog Britt
Laboratory Phone(405) 755-2230
Laboratory LocationNorthwest Pediatrics Of Oklahoma City4140 W Memorial, Suite 413, Oklahoma City, OK 73120
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

DR. HRAIR T KURKJIAN M.D.
Urology
4200 W MEMORIAL RD, STE 713
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-2780
ALI S ZAZA
Surgery
4200 W MEMORIAL RD, SUITE 303
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-9966
DEBORAH D WALLS PA
Physician Assistant
4200 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-5864
DR. ANGELA L SCHUFF DPM
Podiatrist
4200 W MEMORIAL RD, SUITE 308
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-2334
MARTHA M TARPAY MD
Allergy & Immunology (Allergy)
4200 W MEMORIAL RD, SUITE 206
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-0393
DR. AMIT P SAHA M.D.
Colon & Rectal Surgery
4200 W MEMORIAL RD, STE 909
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 749-4201
FUNNELL AND STREBEL INC
Obstetrics & Gynecology
4200 W MEMORIAL RD, SUITE 201
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 749-4200
DR. GARY F STREBEL MD
Obstetrics & Gynecology
4200 W MEMORIAL RD, SUITE 201
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 749-4200

Frequently Asked Questions

What is NORTHWEST INSTITUTE OF SPORTS MEDICINE's NPI number?

The NPI number assigned to this healthcare provider is 1760509079, enumerated as an "organization" on March 23, 2007.

Where is the provider located?

The provider is located at 4200 W MEMORIAL RD SUITE 1001 OKLAHOMA CITY, OK 73120 and the phone number is (405) 787-7678.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.

What insurance does NORTHWEST INSTITUTE OF SPORTS MEDICINE accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.