OKLAHOMA PAIN PHYSICIANS PC (NPI# 1366822298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366822298 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA PAIN PHYSICIANS PC |
| Practice Address |
13301 N Meridian Ave Bldg 600 Oklahoma City OK 73120-9369 |
| Practice Telephone | 4056068950 |
| Practice Fax Number | 4057559113 |
| Mailing Telephone | 4056068950 |
| Mailing Fax Number | 4057559113 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Authorized Official Name | DR. RAFAEL JUSTIZ III (OWNER) |
| Authorized Official Telephone | 4056068950 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
27480 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200109590A | 05 | |
| OK | OKLAHOMA MEDICAL LICENSE | 27480 | 01 |
| OK | DEA | FJ1813535 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518564 | Oklahoma Pain Physicians PC | Pain Medicine | 1500 N Green Ave, #106, Purcell, OK 73080-1642 | 2013-01-28 |
| Street Address |
13301 N MERIDIAN AVE BLDG 600 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-9369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932496 | Mohamed Farouk Kanaa | Internal Medicine | 13301 N Meridian Ave, Ste 501, Oklahoma City, OK 73120-9368 | 2005-06-15 |
| 1194214304 | Aubrey Davis | Nurse Practitioner | 13301 N Meridian Ave, Oklahoma City, OK 73120-9369 | 2018-05-02 |
| 1154863231 | Rss Jon Holman Pllc | Durable Medical Equipment & Medical Supplies | 13301 N Meridian Ave, Bldg 100, Suite 100, Oklahoma City, OK 73120-9369 | 2016-11-07 |
| 1902267164 | Marquis Labs, LLC | Clinical Medical Laboratory | 13301 N Meridian Ave, Suite 704-a, Oklahoma City, OK 73120-9369 | 2016-03-16 |
| 1033522651 | Samantha Bugos | Counselor | 13301 N Meridian Ave, Ste 100, Oklahoma City, OK 73120-9369 | 2014-06-11 |
| 1598191371 | Southwest Orthopaedic Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 13301 N Meridian Ave, Building 600, Oklahoma City, OK 73120-9369 | 2013-09-24 |
| 1750623724 | Jami Sanders | Physical Therapist | 13301 N Meridian Ave, Bldg 700, Ste 704, Oklahoma City, OK 73120-9369 | 2013-03-18 |
| 1629314976 | Ocoms Professional Services LLC | Pain Medicine | 13301 N Meridian Ave, Oklahoma City, OK 73120-9369 | 2012-12-13 |
| 1437411063 | Lance E Hardison Dpm PC | Podiatrist | 13301 N Meridian Ave, Ste 701, Oklahoma City, OK 73120 | 2012-06-11 |
| 1013289818 | Dean R Carpenter Mdpc | Obstetrics & Gynecology | 13301 N Meridian Ave, #300a, Oklahoma City, OK 73120-9369 | 2012-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1942620604 | Joshua Marvin Woolard | Pain Medicine | 3601 Nw 138th St Ste 200, Oklahoma City, OK 73134-2513 | 2014-04-21 |
| 1497375463 | Clinilogic LLC | Pain Medicine | 3727 Nw 63rd St Ste 302, Oklahoma City, OK 73116-1931 | 2020-04-20 |
| 1245730167 | Interventional Spine Services- II, LLC | Pain Medicine | 1907 N Broadway Ave, Oklahoma City, OK 73103-4407 | 2018-02-16 |
| 1700235645 | Elite Pain & Health PC | Pain Medicine | 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | 2016-06-10 |
| 1518345248 | Oklahoma Spine Hospital LLC | Pain Medicine | 14101 Parkway Commons Dr, Oklahoma City, OK 73134-6012 | 2015-05-14 |
| 1275947335 | Timothy Luke Cramer | Pain Medicine | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2014-06-17 |
| 1487072385 | Pro Medical Inc | Pain Medicine | 1145 Sw 74th Street, Bldg 1 Suite 300, Oklahoma City, OK 73139-2171 | 2014-03-29 |
| 1568701332 | Jack E. Marshall Md LLC | Pain Medicine | 14100 Parkway Commons Dr, Suite 100, Oklahoma City, OK 73134-6036 | 2013-02-13 |
| 1629314976 | Ocoms Professional Services LLC | Pain Medicine | 13301 N Meridian Ave, Oklahoma City, OK 73120-9369 | 2012-12-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on OKLAHOMA PAIN PHYSICIANS PC.
| 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.