✓ Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) (207X00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC (NPI #1104663996)

Orthopaedic Surgery • OWASSO, OK • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1104663996
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207X00000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
314 E 5TH AVE STE 103, OWASSO, OK, 74055-3484
✓ 9-Digit EDI 837 ZIP+4 (74055-3484)
Practice Phone & Referral Fax
Fax: (918) 927-3201
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104663996 (ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1104663996 (NPI-2 Organization / Facility)
Provider / Legal NameADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
Plain-English SpecialtyBoard-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
NUCC Code: 207X00000X (Orthopaedic Surgery)
Certifying / Licensing BodyAmerican Board of Orthopaedic Surgery (ABOS)
Practice Location Address314 E 5TH AVE STE 103, OWASSO, OK, 74055-3484
Practice Telephone / FaxTel: (918) 609-8088 | Fax: (918) 927-3201
Administrative Mailing Address2488 E 81ST ST STE 290, TULSA, OK, 74137-4299
Enumeration & Last SyncEnumerated: 2024-07-10 | CMS Record Updated: 2025-12-12
Authorized OfficialJOHNATHON OZTURK (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

314 E 5TH AVE STE 103, OWASSO, OK, 74055-3484

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Plain-English Taxonomy & CMS Crosswalk (207X00000X)

What Does Taxonomy Code 207X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207X00000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC)

Typical CPT / Diagnostic Procedures:
  • Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
  • Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
  • Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
  • Fracture Reduction, Internal Fixation & Carpal Tunnel Release
Common Therapeutic Classes:
  • NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
  • Intra-Articular Triamcinolone Acetonide & Methylprednisolone
  • Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363AM0700X — Physician Assistant, Medical
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
State: N/A | License: Verified | Primary: Secondary
225100000X — Physical Therapist
Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
State: N/A | License: Verified | Primary: Secondary
207QS0010X — Family Medicine, Sports Medicine
Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)
State: N/A | License: Verified | Primary: Secondary
225XH1200X — Occupational Therapist, Hand
Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
State: N/A | License: Verified | Primary: Secondary
207X00000X — Orthopaedic Surgery
Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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