Provider Demographics
NPI:1891779617
Name:ORTHOPAEDIC MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ORTHOPAEDIC MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SJULIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-767-9945
Mailing Address - Street 1:5500 N WESTERN AVE
Mailing Address - Street 2:SUITE 276
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-4019
Mailing Address - Country:US
Mailing Address - Phone:405-767-9945
Mailing Address - Fax:405-767-4724
Practice Address - Street 1:5500 N WESTERN AVE
Practice Address - Street 2:SUITE 276
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4019
Practice Address - Country:US
Practice Address - Phone:405-767-9945
Practice Address - Fax:405-767-4724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK5349460001Medicare NSC