ULTIMATE SPORTS & ORTHOPEDICS – NPI #1710188818
Orthopaedic Surgery

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

ULTIMATE SPORTS & ORTHOPEDICS is an orthopaedic surgeon located in GUYMON, OK. NPPES has assigned the NPI number 1710188818 to ULTIMATE SPORTS & ORTHOPEDICS on May 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery

The NPI profile was previously updated about 18 years ago on Sep 02, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ULTIMATE SPORTS & ORTHOPEDICS below.

NPI Profile for
ULTIMATE SPORTS & ORTHOPEDICS

NPI Number
1710188818
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ULTIMATE SPORTS & ORTHOPEDICS
Primary location
1754 N. ROOSEVELT ST.
SUITE # 300
GUYMON, OK 73942-2730
Phone: (580) 338-4400 Fax: (580) 338-4402
Mailing address
1754 N ROOSEVELT ST
SUITE # 300
GUYMON, OK 73942-2730
Phone: (580) 338-4400 Fax: (580) 338-4402
Organization Subpart
No
Authorized Official
JEFFREY GILLES
OWNER
Phone: (580) 338-4400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XP3100X
- Orthopaedic Surgery / Pediatric Orthopaedic Surgery (Primary)		 OK 25543

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.