OrganizationActive
Ada Orthopedics & Sports Medicine, PC
NPI 1427196773 · Orthopaedic Surgery Physician · Ada, OK
Provider details
- NPI number
- 1427196773
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Charboneau, Surgeon(580) 332-4443
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
625 N Monte Vista St
Ada, OK 74820-4613
Phone: (580) 332-4443
Fax: (580) 332-4846
Approximate (ZIP-level) locationGet directions
Mailing address
625 N Monte Vista St
Ada, OK 74820-4613
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2008-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.