EVEREST PAIN MANAGEMENT (NPI# 1528525524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528525524 |
| Entity Type | Organization |
| Organization Name | EVEREST PAIN MANAGEMENT |
| Practice Address |
4134 S Harvard Ave Suite B1 Tulsa OK 74135 |
| Mailing Address |
3701a S Harvard Ave # 569 Tulsa OK 74135-2265 |
| Practice Telephone | 9187472717 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | ROBERT PATRICK PEACE (PHYSICIAN) |
| Authorized Official Telephone | 9187472717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
4134 S HARVARD AVE SUITE B1 |
| City | TULSA |
| State | OK |
| Zip Code | 74135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| 1306381736 | Holly Elizabeth Firey | Physician Assistant | 4636 S. Harvard Ave, Tulsa, OK 74135 | 2016-12-20 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669785 | 918 Wellness LLC | Clinic/Center | 1320 E 15th St, Tulsa, OK 74120-5804 | 2020-11-04 |
| 1124628656 | Cherry Street Pain Clinic LLC | Clinic/Center | 1810 E 15th St Ste B, Tulsa, OK 74104-4611 | 2020-10-26 |
| 1356815708 | Metro Tulsa Pain Management | Clinic/Center | 6547 E 71st St, Tulsa, OK 74133-2755 | 2019-01-18 |
| 1366875999 | Midtown Medical Neuropathy, LLC | Clinic/Center | 3311 S Yale Ave, Suite 210, Tulsa, OK 74135-8036 | 2013-08-19 |
| 1376862771 | Oklahoma Pain and Wellness Center, Plc | Clinic/Center | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2010-05-25 |
| 1316074834 | Tulsa Pain Consultants, Inc | Clinic/Center | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164718961 | Ucr Medical, Inc | Clinic/Center | 309 E Ray Fine Blvd, Roland, OK 74954-5160 | 2011-06-21 |
| 1629254651 | Angesl Health Care Clinic | Clinic/Center | 230 E 5th St, Pawhuska, OK 74056-5204 | 2008-01-22 |
| 1124042809 | Footcare & More LLC | Clinic/Center | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-07-27 |
| 1396357679 | Regenmedok | Clinic/Center | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2020-08-19 |
| 1790283752 | Affinity Health LLC | Clinic/Center | 301 N Broadway St, Poteau, OK 74953-3355 | 2018-01-24 |
| 1871039396 | Northern Oklahoma Addiction Clinic | Clinic/Center | 304 Boulder St, Pawnee, OK 74058-4028 | 2017-01-08 |
| 1639419393 | Mcalester Anesthesia and Respiratory Services Inc | Clinic/Center | 4 E Clark Bass Blvd, Ste. 205, Mcalester, OK 74501-4269 | 2013-02-18 |
| 1477829554 | Medical Center Pain Clinic, Pllc | Clinic/Center | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2012-03-22 |
| 1154694537 | The Restorative Pain To Wellness Center, Inc. | Clinic/Center | 2033 W Houston St, Broken Arrow, OK 74012-8304 | 2012-02-16 |
| 1336337393 | Norman Interventional Pain Management Pllc | Clinic/Center | 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072-2202 | 2007-10-04 |
| Find all providers with the same taxonomy | ||||
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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.