MEDICAL CENTER PAIN CLINIC, LLC (NPI# 1568946846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568946846 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER PAIN CLINIC, LLC |
| Practice Address |
1226 N Shartel Ave Suite 300 Oklahoma City OK 73103 |
| Practice Telephone | 4052328003 |
| Mailing Telephone | 4052328003 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | BETTY MOON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4056058280 |
| 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 |
1226 N SHARTEL AVE SUITE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| 1538458047 | Healthfirst Physician Management | General Practice | 1111 N Dewey, Pre-op Clinic, Oklahoma City, OK 73103 | 2011-04-05 |
| Find all providers in zip 73103 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1366822298 | Oklahoma Pain Physicians PC | Pain Medicine | 13301 N Meridian Ave, Bldg 600, Oklahoma City, OK 73120-9369 | 2015-06-05 |
| 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 | 73103 |
Please comment or provide details below to improve the information on MEDICAL CENTER PAIN CLINIC, 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.