TULSA PAIN CONSULTANTS, INC. (NPI# 1174824304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174824304 |
| Entity Type | Organization |
| Organization Name | TULSA PAIN CONSULTANTS, INC. |
| Practice Address |
2000 S Wheeling Ave Suite 600 Tulsa OK 74104-5649 |
| Practice Telephone | 9187427030 |
| Practice Fax Number | 9187429958 |
| Mailing Telephone | 9187427030 |
| Mailing Fax Number | 9187429958 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | ANDREAS FRANK REVELIS (PARTNER) |
| Authorized Official Telephone | 9187427030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2000 S WHEELING AVE SUITE 600 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627325 | Robert L. Cossman | Internal Medicine | 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104-5648 | 2005-05-23 |
| 1740666015 | Jay Williamson Do PC | Obstetrics & Gynecology | 2000 S Wheeling Ave, Ste. 700, Tulsa, OK 74104 | 2015-08-10 |
| 1396123246 | Caleb Eugene Burrows | Otolaryngology | 2000 S Wheeling Ave, Ste 900, Tulsa, OK 74104-5647 | 2015-05-12 |
| 1013314715 | Laura Kerr | Physician Assistant | 2000 S Wheeling Ave, Ste 200, Tulsa, OK 74104-5649 | 2014-11-24 |
| 1093157562 | Vanessa Erin Bennett | Optometrist | 2000 S Wheeling Ave, Ste 1010, Tulsa, OK 74104-5649 | 2013-07-24 |
| 1225320328 | Claire Lukeman Mattocks | Pediatrics | 2000 S Wheeling Ave, Suite 300, Tulsa, OK 74104-5649 | 2011-05-07 |
| 1497046437 | Eric Gregory | Physician Assistant | 2000 S Wheeling Ave, Tulsa, OK 74104-5649 | 2011-04-25 |
| 1396049086 | Kelsey D Wilkins | Physician Assistant | 2000 S Wheeling Ave, Ste 100, Tulsa, OK 74104-5649 | 2011-01-10 |
| 1174836241 | Marc A Goldberg Md PC | Eyewear Supplier (Equipment, not the service) | 2000 S Wheeling Ave, Suite 1010, Tulsa, OK 74104-5649 | 2010-07-19 |
| 1114244985 | Adult Gastroenterology Associates, Inc | Non-Pharmacy Dispensing Site | 2000 S Wheeling Ave, Suite 700, Tulsa, OK 74104-5649 | 2010-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525898 | Adaptive Pain Management LLC | Pain Medicine | 6703 E 81st St Ste E-1, Tulsa, OK 74133-4153 | 2020-07-17 |
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1255810321 | Covenant Pain Management Clinic | Pain Medicine | 7615 E 63rd Pl Ste 104, Tulsa, OK 74133-1231 | 2018-08-09 |
| 1912297805 | Samuel Clayton Korbe | Pain Medicine | 6565 S Yale Ave Ste 803, Tulsa, OK 74136-8309 | 2011-04-12 |
| 1184606550 | Bhadresh L Bhakta | Pain Medicine | 8556 E 101st St, Suite A, Tulsa, OK 74133-7033 | 2005-11-18 |
| 1255941423 | Procedural Pain Management LLC | Pain Medicine | 9906 Riverside Pkwy, Tulsa, OK 74137-7409 | 2020-08-03 |
| 1235785593 | Oklahoma Commons Surgery Center, LLC | Pain Medicine | 1844 E 15th St, Tulsa, OK 74104-4611 | 2019-08-13 |
| 1194138412 | Advance Invasive Pain Management of Tulsa | Pain Medicine | 5018 E 68th St, 200, Tulsa, OK 74136-3367 | 2014-06-04 |
| 1841489333 | Pain Diagnosis and Treatment Center, Pllc | Pain Medicine | 8556 E 101st St, Suite A, Tulsa, OK 74133-7033 | 2007-10-19 |
| 1912030404 | Frank Joseph Hackl | Pain Medicine | 7901 S Sheridan Rd, Tulsa, OK 74133-8900 | 2007-03-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.