Healthcare Provider Details

I. General information

NPI: 1922024199
Provider Name (Legal Business Name): CUSHING SPECIALIST GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 E MAIN ST
CUSHING OK
74023-2905
US

IV. Provider business mailing address

2340 E MAIN ST
CUSHING OK
74023-2905
US

V. Phone/Fax

Practice location:
  • Phone: 918-225-6904
  • Fax: 918-225-4559
Mailing address:
  • Phone: 918-225-6904
  • Fax: 918-225-4559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number14897
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2858
License Number StateOK

VIII. Authorized Official

Name: MR. FRANK L HUBBARD
Title or Position: OWNER OPERATOR
Credential: DO
Phone: 918-225-6904