SOUTH TULSA PAIN MANAGEMENT LLC. (NPI# 1255821005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255821005 |
| Entity Type | Organization |
| Organization Name | SOUTH TULSA PAIN MANAGEMENT LLC. |
| Other Organization Name | SOUTH TULSA PAIN MANAGEMENT |
| Practice Address |
12345 S Memorial Dr Ste 106 Bixby OK 74008 |
| Mailing Address |
12345 S Memorial Dr Ste 111 Bixby OK 74008-2570 |
| Practice Telephone | 9185209692 |
| Mailing Telephone | 9185209692 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. JAMES L JOLLEY (OWNER) |
| Authorized Official Telephone | 9185209692 |
| Authorized Official Credential | D.C. |
| 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 |
| Other Name | Type Code |
|---|---|
| South Tulsa Pain Management | Doing Business As Name - Organization |
| Street Address |
12345 S MEMORIAL DR STE 106 |
| City | BIXBY |
| State | OK |
| Zip Code | 74008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| 1164642542 | Jason Andrew Knapp | Dentist | 11907-b South Memorial Drive, Bixby, OK 74008 | 2007-04-26 |
| Find all providers in zip 74008 | ||||
| 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 |
|---|---|---|---|---|
| 1699383919 | Bdc Medical Pllc | Pain Medicine | 3101 W Tecumseh Rd Ste 102, Norman, OK 73072-1816 | 2020-07-22 |
| 1013525898 | Adaptive Pain Management LLC | Pain Medicine | 6703 E 81st St Ste E-1, Tulsa, OK 74133-4153 | 2020-07-17 |
| 1376192294 | Elite Pain & Health PC | Pain Medicine | 2020 S Service Rd, Moore, OK 73160-5512 | 2019-09-04 |
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1255810321 | Covenant Pain Management Clinic | Pain Medicine | 7615 E 63rd Pl Ste 104, Tulsa, OK 74133-1231 | 2018-08-09 |
| 1982194908 | Glenpool Pain Management LLC | Pain Medicine | 148 W Main St Ste A, Glenpool, OK 74033 | 2018-05-15 |
| 1558885749 | Western Oklahoma Pain Specialists LLC | Pain Medicine | 1901 W 3rd St Ste C, Elk City, OK 73644-4340 | 2017-07-28 |
| 1942620604 | Joshua Marvin Woolard | Pain Medicine | 3601 Nw 138th St Ste 200, Oklahoma City, OK 73134-2513 | 2014-04-21 |
| 1699104232 | Key Health Institute of Edmond, LLC | Pain Medicine | 14701 N Kelley Ave, Edmond, OK 73013-3814 | 2013-11-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH TULSA PAIN MANAGEMENT LLC..
| 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.