MEDICARE: SURGICAL ASSOCIATES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician		OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396706578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SURGICAL ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	2448 E 81ST ST
Second Line	:	SUITE 1100
City	:	TULSA
State	:	OK
Zip	:	74137-4250
Country	:	US
Telephone Number	:	918-505-3400
Fax Number	:	918-508-7070

Provider Business Practice Location Address
First Line	:	2448 E 81ST ST STE 1100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-4205
Country	:	US
Telephone Number	:	918-505-3400
Fax Number	:	918-508-7070

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	ANGIE PIERCE
Credential	:
Telephone Number	:	918-794-9036

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	03/17/2026

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