EDMOND LASER INSTITUTE L.L.C. (NPI# 1316052517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316052517 |
| Entity Type | Organization |
| Organization Name | EDMOND LASER INSTITUTE L.L.C. |
| Practice Address |
105 S Bryant Ave Suite 105 Edmond OK 73034-6399 |
| Practice Telephone | 4053489797 |
| Practice Fax Number | 4053489026 |
| Mailing Telephone | 4053489797 |
| Mailing Fax Number | 4053489026 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HENRY J PEARCE (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4053489797 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
105 S BRYANT AVE SUITE 105 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494015 | Charles M Gelnar | Surgery | 105 S Bryant Ave, #104, Edmond, OK 73034-6330 | 2005-06-01 |
| 1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
| 1649696097 | National Centers for Pain Management and Research, LLC | Physical Medicine & Rehabilitation | 105 S Bryant Ave, Suite 301, Edmond, OK 73034-6399 | 2014-03-10 |
| 1871813170 | Stanley A Horst Md PC | Internal Medicine | 105 S Bryant Ave, Suite 100, Edmond, OK 73034-6399 | 2010-06-09 |
| 1033434626 | Michael D. Swafford, Psy.d., P.C. | Counselor | 105 S Bryant Ave, Suite 302, Edmond, OK 73034-6399 | 2010-04-07 |
| 1528392727 | Cameron Michelle Halsell | Obstetrics & Gynecology | 105 S Bryant Ave, #304, Edmond, OK 73034-6399 | 2009-09-22 |
| 1013240993 | Mark R Lynn Md Inc | Family Medicine | 105 S Bryant Ave, Suite 204a, Edmond, OK 73034-6399 | 2009-09-10 |
| 1467690347 | Freta Deanna Hale | Specialist/Technologist, Other | 105 S Bryant Ave, Suite 410, Edmond, OK 73034-6399 | 2009-01-30 |
| 1396954582 | Mitchell Horowitz Md PC | Internal Medicine | 105 S Bryant Ave, Suite 309, Edmond, OK 73034-6399 | 2007-05-22 |
| 1376619866 | John Christopher Martin | Family Medicine | 105 S Bryant Ave, Suite 300, Edmond, OK 73034-6399 | 2006-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396030664 | Cataract Institute of Oklahoma LLC | Clinic/Center | 3840 S. Boulevard, Edmond, OK 73013 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404922 | Ortho Central | Clinic/Center | 3400 W Tecumseh Rd Ste 301, Norman, OK 73072-1812 | 2019-12-16 |
| 1972156842 | Norman Regional Hospital Authority | Clinic/Center | 1125 N Porter Ave Ste 304, Norman, OK 73071-6443 | 2019-07-19 |
| 1508419474 | Norman Regional Hospital Authority | Clinic/Center | 3101 W Tecumseh Rd Ste 100, Norman, OK 73072-1816 | 2019-07-19 |
| 1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
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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.