Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ada Orthopedics & Sports Medicine, PC

Organization Orthopaedic Surgery Physician · NPI 1427196773

Ada Orthopedics & Sports Medicine, PC is an Orthopaedic Surgery Physician in Ada, Oklahoma. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

625 N Monte Vista St
Ada, OK 74820-4613
Phone: (580) 332-4443
Fax: (580) 332-4846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1427196773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Charboneau — Surgeon · (580) 332-4443
NPI enumeratedFebruary 1, 2007
Last updated in NPPESMarch 27, 2008
Mailing address625 N Monte Vista St, Ada, OK 74820-4613

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