OrganizationOklahoma Center For Orthopaedic Excellence & Sports Medicine, LlcOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansPractice Address3110 SW 89th St, Suite 200c, Oklahoma City, OK 73159-7919(405) 759-2663PECOS EnrollmentBased on the most recent information from CMS, provider Oklahoma Center For Orthopaedic Excellence & Sports Medicine, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1114991304Provider TypeOrganizationFull NameOklahoma Center For Orthopaedic Excellence & Sports Medicine, LlcSubpartNoEnumeration Date2/14/2006Last Updated11/17/2011Contact InformationPractice LocationPractice Address3110 SW 89th St, Suite 200c, Oklahoma City, OK 73159-7919Phone(405) 759-2663Fax(405) 759-3827Mailing LocationMailing AddressPO Box 890358, Oklahoma City, OK 73189-0358Phone(405) 759-2663Fax(405) 759-3827Authorized OfficialNameObrien, Michael Sean (President)Phone(405) 759-2663Provider TaxonomiesCodeDescriptionLicenseCode207XX0005XPrimaryDescriptionOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansLicense3481OklahomaProvider IdentifiersIDDescriptionIssuerID200064010ADescriptionMedicaidIssuerUnlistedOklahoma