# FOUNDATION SURGERY AFFILIATE OF NORTHWEST OKLAHO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foundation Surgery Center of Oklahoma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093771909
- **Authorized official:** THOMAS A NEWMAN (EVP AND CHIEF OPERATING OFFICER)
- **Authorized official phone:** (405) 608-1706

## Contact information

- **Practice address:** 14000 N. PORTLAND AVENUE, SUITE 100, OKLAHOMA CITY, OK 73134-4004
- **Practice address phone:** (405) 936-8100
- **Practice address fax:** (405) 748-5962
- **Mailing address:** 14000 N. PORTLAND AVENUE, SUITE 203, OKLAHOMA CITY, OK 73134-4004
- **Mailing address phone:** (405) 608-1700
- **Mailing address fax:** (405) 608-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0077 | OK | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 04/06/2012