OKLAHOMA PAIN PHYSICIANS PC (NPI# 1649518564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649518564 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA PAIN PHYSICIANS PC |
| Practice Address |
1500 N Green Ave #106 Purcell OK 73080-1642 |
| Mailing Address |
Po Box 268953 Oklahoma City OK 73126-8953 |
| Practice Telephone | 4056574800 |
| Practice Fax Number | 4053963364 |
| Mailing Telephone | 4056574800 |
| Mailing Fax Number | 4053963364 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | RAFAEL JUSTIZ III (OWNER) |
| Authorized Official Telephone | 4056574800 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366822298 | Oklahoma Pain Physicians PC | Pain Medicine | 13301 N Meridian Ave, Bldg 600, Oklahoma City, OK 73120-9369 | 2015-06-05 |
| Street Address |
1500 N GREEN AVE #106 |
| City | PURCELL |
| State | OK |
| Zip Code | 73080-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427095710 | Philip J Meyer | Radiology | 1500 N Green Ave, Purcell, OK 73080-1642 | 2006-06-02 |
| 1063983740 | Amy Alane Mikles | Physician Assistant | 1500 N Green Ave, Purcell, OK 73080-1699 | 2018-12-06 |
| 1649648478 | Mcclain Emergency Group, LLC | Physician Assistant | 1500 N Green Ave, Purcell, OK 73080-1642 | 2015-09-10 |
| 1528469236 | Anne Coker | Dietitian, Registered | 1500 N Green Ave, Purcell, OK 73080-1642 | 2014-09-12 |
| 1942646989 | Purcell Municipal Hospital | Otolaryngology | 1500 N Green Ave, Purcell, OK 73080-1642 | 2013-05-17 |
| 1306282348 | Purcell Municipal Hospital | Emergency Medicine | 1500 N Green Ave, Attn Business Office Manager, Purcell, OK 73080-1642 | 2013-05-17 |
| 1265788814 | Southwest Orthopaedic Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 1500 N Green Ave, Purcell, OK 73080-1642 | 2012-08-01 |
| 1851669865 | Purcell Municipal Hospital | General Acute Care Hospital | 1500 N Green Ave, Purcell, OK 73080-1642 | 2011-12-05 |
| 1235432006 | David Wesley Stanton | Physical Therapist | 1500 N Green Ave, Purcell, OK 73080-1642 | 2010-12-16 |
| 1073816864 | Lora Gayle Stanton | Physical Therapist | 1500 N Green Ave, Purcell, OK 73080-1642 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702981 | Clarissa Shomo | Social Worker | Outpatient Services Purcell- 1726 N. Green Ave, Strong Family Development, Purcell, OK 73080 | 2015-10-07 |
| 1992138614 | Crystal Nicole Navarro | Social Worker | 1726 N. Green Avenue, Purcell, OK 73080 | 2013-08-16 |
| 1417242595 | Jarod D. Allen | Behavioral Analyst | Outpatient Services-purcell-1726 N Green Ave, Strong Family Development, Purcell, OK 73080 | 2011-06-16 |
| 1508195397 | Custom Dental of Purcell, Pllc | Dentist | 700 Chandler Rd., Purcell, OK 73080 | 2009-12-08 |
| 1336387513 | Regina Gail Pereira | Counselor | Outpatient Servies Purcell- 1726 W Green Ave, Strong Family Development, Purcell, OK 73080 | 2009-01-27 |
| 1114182342 | Tenia Ladonna Skinner | Family Medicine | 129 N 3rd Ave Ste C, Purcell, OK 73080 | 2008-07-28 |
| 1164691234 | Carla D Parnacher | Counselor | 1726 N Green Ave Outpatient Services- Purcell, Strong Family Development, Norman, OK 73080 | 2008-02-22 |
| 1932319811 | Amanda Diane Harrington | Marriage & Family Therapist | 1438 Hardcastle Blvd., Medical Family Therapy, Purcell, OK 73080 | 2007-05-22 |
| 1215059464 | Purcell Chiropractic PC | Chiropractor | 1205 N Green Ave, Purcell, OK 73080 | 2007-04-06 |
| 1144365339 | Cynthia Inez Maynard | Marriage & Family Therapist | 1726 North Green Avenue, Strong Family Development-outpatient Services Purcell, Purcell, OK 73080 | 2007-02-21 |
| Find all providers in zip 73080 | ||||
| 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 |
|---|---|---|---|---|
| 1699383919 | Bdc Medical Pllc | Pain Medicine | 3101 W Tecumseh Rd Ste 102, Norman, OK 73072-1816 | 2020-07-22 |
| 1013525898 | Adaptive Pain Management LLC | Pain Medicine | 6703 E 81st St Ste E-1, Tulsa, OK 74133-4153 | 2020-07-17 |
| 1376192294 | Elite Pain & Health PC | Pain Medicine | 2020 S Service Rd, Moore, OK 73160-5512 | 2019-09-04 |
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1255810321 | Covenant Pain Management Clinic | Pain Medicine | 7615 E 63rd Pl Ste 104, Tulsa, OK 74133-1231 | 2018-08-09 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1982194908 | Glenpool Pain Management LLC | Pain Medicine | 148 W Main St Ste A, Glenpool, OK 74033 | 2018-05-15 |
| 1558885749 | Western Oklahoma Pain Specialists LLC | Pain Medicine | 1901 W 3rd St Ste C, Elk City, OK 73644-4340 | 2017-07-28 |
| 1942620604 | Joshua Marvin Woolard | Pain Medicine | 3601 Nw 138th St Ste 200, Oklahoma City, OK 73134-2513 | 2014-04-21 |
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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.