JOINT RECONSTRUCTIVE SPECIALIST
NPI 1629187596
Orthopaedic Surgery in Oklahoma City, OK

NPI Status: Active since August 30, 2006

Contact Information

3110 SW 89TH ST
STE 200 D
OKLAHOMA CITY, OK
ZIP 73159
Phone: (405) 680-5633
Fax: (405) 735-6435

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance
  • CLIA Number: 37D2096023
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-13-2027

About JOINT RECONSTRUCTIVE SPECIALIST

This page provides the complete NPI Profile along with additional information for Joint Reconstructive Specialist, a provider established in Oklahoma City, Oklahoma operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1629187596 assigned on August 2006. The practitioner's primary taxonomy code is 207X00000X with license number 3588 (OK). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Paul D Maitino Do. (President)

NPI
1629187596
Provider Name
JOINT RECONSTRUCTIVE SPECIALIST
Entity Type
Organization
Location Address
3110 SW 89TH ST STE 200 D OKLAHOMA CITY, OK 73159
Location Phone
(405) 680-5633
Location Fax
(405) 735-6435
Mailing Address
PO BOX 108809 OKLAHOMA CITY, OK 73101
Mailing Phone
(405) 419-8444
Mailing Fax
(405) 735-6435
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2006
Last Update Date
02-05-2013
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
3588
License State
OK
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAUL D MAITINO DO.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(405) 680-5633

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200075360AMEDICAID (05)OK 
200038126OTHER (01)OKMEDICARE RAILROAD
400522450MEDICARE PIN (08)OK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2096023
Facility Type
Physician Office
Certificate Effective Date
May 14, 2025
Certificate Expiration Date
May 13, 2027
Laboratory Director
PAUL D. MAITINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Joint Reconstructive Specialist to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for JOINT RECONSTRUCTIVE SPECIALIST

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629187596
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26492814518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 8 + 1 + 4 + 5 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1629187596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114991304OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC
Organization
Orthopaedic Surgery (Sports Medicine)3110 SW 89TH ST SUITE 200C
OKLAHOMA CITY, OK 73159
(405) 759-2663
1164496238 MICHAEL SEAN OBRIEN D.O.
Individual
Orthopaedic Surgery3110 SW 89TH ST SUITE 200C
OKLAHOMA CITY, OK 73159
(405) 759-2663
1598875031 BONNIE JO GALLOP P.T.
Individual
Physical Therapist3110 SW 89TH ST SUITE 200D
OKLAHOMA CITY, OK 73159
(405) 631-8888
1821219817 AARON WOMACK
Individual
Physical Therapist3110 SW 89TH ST SUITE 200D
OKLAHOMA CITY, OK 73159
(405) 631-8888
1023240538OKLAHOMA SPINE SURGERY & ORTHOPEDICS
Organization
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)3110 SW 89TH ST 102
OKLAHOMA CITY, OK 73159
(405) 703-4905
1376507665DR. PAUL D MAITINO D.O.
Individual
Orthopaedic Surgery3110 SW 89TH ST STE 200 D
OKLAHOMA CITY, OK 73159
(405) 735-6270
1952373326MR. JERRY T MCLAUGHLIN PA
Individual
Physician Assistant3110 SW 89TH ST SUITE 200E
OKLAHOMA CITY, OK 73159
(405) 733-7300
1134466857 KAYLEE DENISE HEIM APRN-CNP
Individual
Nurse Practitioner (Pediatrics)3110 SW 89TH ST SUITE 200B
OKLAHOMA CITY, OK 73159
(405) 757-7818
1780894055MRS. DEBORAH DENICE LABRIE P.A.-C
Individual
Physician Assistant (Medical)3110 SW 89TH ST SUITE 200C
OKLAHOMA CITY, OK 73159
(405) 759-2663
1083686422DR. DARRYL D ROBINSON MD
Individual
Physical Medicine & Rehabilitation3110 SW 89TH ST SUITE 102
OKLAHOMA CITY, OK 73159
(405) 703-4950
1437467503CAPITAL MEDICAL SOLUTIONS,PLLC
Organization
Physical Medicine & Rehabilitation3110 SW 89TH ST SUITE 102 C
OKLAHOMA CITY, OK 73159
(405) 703-4905
1932574241OKLAHOMA PAIN CARE LLC
Organization
Orthopaedic Surgery3110 SW 89TH ST SUITE 200D-1
OKLAHOMA CITY, OK 73159
(405) 680-5633
1861854408K&R MEDICAL SOLUTIONS
Organization
Health Maintenance Organization3110 SW 89TH ST 102-C
OKLAHOMA CITY, OK 73159
(405) 759-2330
1700339009 BLAKELY KECIA BERRY
Individual
Dietitian, Registered3110 SW 89TH ST STE 200E
OKLAHOMA CITY, OK 73159
(405) 703-7300
1619424595JOHN B. HUGHES, D.O.
Organization
Orthopaedic Surgery3110 SW 89TH ST SUITE 200
OKLAHOMA CITY, OK 73159
(405) 680-5633
1841732799EIH PHYSICIANS, PLLC
Organization
Orthopaedic Surgery3110 SW 89TH ST STE 200E
OKLAHOMA CITY, OK 73159
(405) 703-7300
1780816298ELITE PAIN SOLUTIONS LLC
Organization
Pain Medicine (Pain Medicine)3110 SW 89TH ST 102
OKLAHOMA CITY, OK 73159
(405) 703-4905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629187596, enumerated in the NPI registry as an "organization" on August 30, 2006

The provider is located at 3110 Sw 89th St Ste 200 D Oklahoma City, Ok 73159 and the phone number is (405) 680-5633

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 37D2096023 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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