CHERRY STREET SURGERY CENTER, LLC
NPI 1902960198
Clinic/Center in Tulsa, OK

Q: What is Cherry Street Surgery Center, LLC's NPI number?

The NPI number for Cherry Street Surgery Center, LLC is 1902960198. It was assigned to this organization in the NPPES registry on December 21, 2006.

Q: What is Cherry Street Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 21, 2006CLIA 37D0908892 · Waiver

1844 E 15TH ST, TULSA, OK 74104(918) 749-7177 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cherry Street Surgery Center, Llc NPPES

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

CHERRY STREET SURGERY CENTER, LLC (NPI 1902960198) is a healthcare organization registered as a clinic/center in Tulsa, Oklahoma and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Mark L Mathers, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902960198

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCHERRY STREET SURGERY CENTER, LLC

Location Address1844 E 15TH STTulsa, OK 74104-4611

Mailing Address1844 E 15th StTulsa, OK 74104-4611 · (918) 749-7177

Phone(918) 749-7177

Organization SubpartNo

Authorized OfficialMark L MathersMedical Director · (918) 749-7177

Enumeration DateDecember 21, 2006

Last NPPES UpdateOctober 7, 2008

✔ NPI 1902960198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in OK · 0046

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1844 E 15TH ST, Tulsa, OK 74104

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Other Identifiers 3

Medicaid100748420AOK

Medicare PIN100522010OK

Other731572836-001OK · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 37D0908892

Cherry Street Surgery Center, LLC · Tulsa, OK

Active · expires Sep 30, 2027

CLIA Number37D0908892

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorAdam J. Wallace

Laboratory Phone(918) 727-7246

Laboratory LocationCherry Street Surgery Center, LLC1844 East 15th Street, Tulsa, OK 74104

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

117 services40 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.

98 services61 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

52 services33 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.

43 services33 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.

43 services39 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.

43 services28 patients

Other Providers at the Same Location NPPES 13

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

ELIZABETH L FROST, PLLC

Anesthesiology