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 2 days ago.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