Provider Demographics
NPI:1295163467
Name:NONOPERATIVE ORTHOPEDICS OF OKLAHOMA, PLLC
Entity type:Organization
Organization Name:NONOPERATIVE ORTHOPEDICS OF OKLAHOMA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WAUGH
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:405-348-2323
Mailing Address - Street 1:65 S SAINTS BLVD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3051
Mailing Address - Country:US
Mailing Address - Phone:405-348-2323
Mailing Address - Fax:405-348-2323
Practice Address - Street 1:65 S SAINTS BLVD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3051
Practice Address - Country:US
Practice Address - Phone:405-285-5304
Practice Address - Fax:405-285-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25617207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty