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

Joint Reconstructive Specialist

Organization Orthopaedic Surgery Physician · NPI 1629187596

Joint Reconstructive Specialist is an Orthopaedic Surgery Physician in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006

Practice location Address checks out

3110 SW 89th St Ste 200 D
Oklahoma City, OK 73159-7920
Phone: (405) 680-5633
Fax: (405) 735-6435
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 3588 (OK)

Record details

NPI number1629187596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Maitino — President · (405) 680-5633
NPI enumeratedAugust 30, 2006
Last updated in NPPESFebruary 5, 2013
Mailing addressPo Box 108809, Oklahoma City, OK 73101-8809

Other providers in Oklahoma City