CLINILOGIC LLC (NPI# 1639661333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639661333 |
Entity Type | Organization |
Organization Name | CLINILOGIC LLC |
Other Organization Name | ADVANCED PAIN MANAGEMENT |
Practice Address |
3727 Nw 63rd St Ste 302 Oklahoma City OK 73116-1931 |
Mailing Address |
2701 Little Elm Pkwy Ste 100-148 Little Elm TX 75068-6672 |
Practice Telephone | 4057028623 |
Practice Fax Number | 4056088623 |
Mailing Telephone | 2143106763 |
Enumeration Date | 2018-05-30 |
Last Update Date | 2019-07-29 |
Authorized Official Name | RITA PANNELL (REV CYCLE MGR) |
Authorized Official Telephone | 2143106763 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200844440A | 05 |
Other Name | Type Code |
---|---|
Advanced Pain Management | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497375463 | Clinilogic LLC | Pain Medicine | 3727 Nw 63rd St Ste 302, Oklahoma City, OK 73116-1931 | 2020-04-20 |
Street Address |
3727 NW 63RD ST STE 302 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73116-1931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710317805 | Advance Pain Management of Oklahoma PC | Durable Medical Equipment & Medical Supplies | 3727 Nw 63rd St Ste 302, Oklahoma City, OK 73116-1931 | 2013-11-26 |
1497375463 | Clinilogic LLC | Pain Medicine | 3727 Nw 63rd St Ste 302, Oklahoma City, OK 73116-1931 | 2020-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
Find all providers in zip 73116 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023586252 | Mercy Hospital Oklahoma City Outpatient Surgery LLC | Clinic/Center | 3301 Nw 50th St Ste 200, Oklahoma City, OK 73112-5627 | 2018-11-06 |
1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
1326379967 | Weir Asc, LLC | Clinic/Center | 9913 S May Avenue, Oklahoma City, OK 73159-7900 | 2010-01-21 |
1467659250 | Joe Dan Metcalf | Clinic/Center | 12400 Saint Andrews Dr, Oklahoma City, OK 73120-8601 | 2007-06-27 |
1750597449 | Oklahoma Lithotripter Associates, L.c. | Clinic/Center | 5401 N Portland Ave Ste 650, Oklahoma City, OK 73112-2081 | 2007-05-16 |
1083837926 | Heritage Eye Surgery Center, LLC | Clinic/Center | 6922 S. Western, Suite 102, Oklahoma City, OK 73139-1890 | 2007-04-10 |
1487750238 | Southwest Ambulatory Surgery Center, LLC | Clinic/Center | 8125 S. Walker Avenue, Oklahoma City, OK 73139-9476 | 2006-09-16 |
1043253263 | Ddsi South Aec LLC | Clinic/Center | 4201 South Western, Ste. 4000, Oklahoma City, OK 73109-3410 | 2006-06-14 |
1093771909 | Foundation Surgery Affiliate of Northwest Oklaho | Clinic/Center | 14000 N. Portland Avenue, Suite 100, Oklahoma City, OK 73134-4004 | 2006-04-21 |
1801856471 | St Anthony North Ambulatory Surgical Center L L C | Clinic/Center | 6205 N Santa Fe Ave, Suite 100, Oklahoma City, OK 73118-7535 | 2006-03-27 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73116 |
Please comment or provide details below to improve the information on CLINILOGIC 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.