Triad Surgery Center LLC
Triad Surgery Center LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Muskogee, OK, holding Type 2 (organization) NPI 1043216617 since 2005. The authorized official on file is Ryan Conley, Owner/Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043216617 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Triad Surgery Center LLC |
| Other name | <Unavail> |
| Practice address | 3131 MILITARY BLVD, Muskogee, OK, 74401 |
| Phone | 9186876600 |
| Fax | 9186876610 |
| Enumeration date | 2005-06-28 |
| Last updated in NPPES | 2019-06-26 |
Authorized official
| Name | Ryan Conley |
|---|---|
| Title | Owner/Manager |
| Phone | 9186876600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Secondary | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 0061 | OK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490004258 | Other | OK | MEDICARE ID |
| 100738620C | Medicaid | OK | — |
| CO5028 | Other | OK | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Triad Surgery Center LLC NPI: 1043216617 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 3131 MILITARY BLVD, Muskogee, OK, 74401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073592002 | Joni Couch | Individual | Optometrist | Muskogee, OK |
| 1417016312 | Ryan Conley | Individual | Ophthalmology Physician | Muskogee, OK |
| 1447382833 | Triad Eye Institute Pllc | Organization | Ophthalmology Physician | Muskogee, OK |
| 1699021543 | Drew Crawford | Individual | Optometrist | Muskogee, OK |
| 1700254661 | Lee Bottem Do Plc | Organization | Ophthalmology Physician | Muskogee, OK |
| 1215381892 | Osu Center for Health Sciences | Organization | Clinic/Center | Muskogee, OK |
Verify this record
Cross-check NPI 1043216617 against the authoritative CMS record: view Triad Surgery Center LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Triad Surgery Center LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-06-26.