THE SPINE AND PAIN CENTER LLC


Address: 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442
Phone: 9182557246

THE SPINE AND PAIN CENTER LLC (NPI# 1689144602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689144602
Entity Type Organization
Organization Name THE SPINE AND PAIN CENTER LLC
Practice Address 3336 E 32nd St Ste 220
Tulsa
OK 74135-4442
Mailing Address 10514 S 93rd East Ave
Tulsa
OK 74133-6379
Practice Telephone 9182557246
Enumeration Date 2018-12-03
Last Update Date 2018-12-05
Authorized Official Name ADAM WALLACE (OWNER)
Authorized Official Telephone 9182557246
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 3336 E 32ND ST STE 220
City TULSA
State OK
Zip Code 74135-4442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518129733 Adam Joseph Wallace Anesthesiology 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 2008-06-29
1972876191 Kala Marie Gaydos Nurse Practitioner 3336 E 32nd St Ste 220, Tulsa, OK 74135 2012-02-18

Providers in the same zip code

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
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
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
Find all providers in zip 74135

Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437657590 Advanced Pain Management Center of Oklahoma, LLC Anesthesiology 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 2018-01-24
1841692274 Precision Pain Management LLC Anesthesiology 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 2014-09-17
1578880225 Patricia Eugenie Jumelle Anesthesiology 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 2010-04-20
1518129733 Adam Joseph Wallace Anesthesiology 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 2008-06-29
1851581185 Emad Samir Attallah-wasif Anesthesiology 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 2007-08-01
1528061603 Clinton Scott Anthony Anesthesiology 6802 S Olympia Ave, Suite 100, Tulsa, OK 74132-1823 2005-05-23
1902809080 Andreas Frank Revelis Anesthesiology 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 2005-05-23
1043835309 Seva Pain and Wellness Anesthesiology 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 2020-06-12
1639575160 Uber Group Pllc Anesthesiology 9709 E 79th St, Tulsa, OK 74133-4566 2014-11-11
1437569639 Ahmad Khattab Anesthesiology 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 2014-04-28
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74135

Improve Information

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Dataset Information

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.

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