Healthcare Provider Details

I. General information

NPI: 1235054370
Provider Name (Legal Business Name): SURGICAL BENEFIT MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 W C ST
JENKS OK
74037-2367
US

IV. Provider business mailing address

5513 W 11000 N # 211
HIGHLAND UT
84003-8012
US

V. Phone/Fax

Practice location:
  • Phone: 866-707-2646
  • Fax: 385-243-3211
Mailing address:
  • Phone: 866-707-2646
  • Fax: 385-243-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN PINTO
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 866-707-2646