ADVANCED PAIN OF TULSA PLLC (NPI# 1699246645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699246645 |
| Entity Type | Organization |
| Organization Name | ADVANCED PAIN OF TULSA PLLC |
| Practice Address |
9320 S Mingo Rd Tulsa OK 74133-5710 |
| Mailing Address |
6605 E 109th St Tulsa OK 74133-7163 |
| Practice Telephone | 9189019702 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | DR. LAM DUY NGUYEN (OWNER) |
| Authorized Official Telephone | 9189019701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
9320 S MINGO RD |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407818420 | Jeri Townsend | Nurse Practitioner | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2006-04-05 |
| 1891260790 | Samantha Joann Campbell | Nurse Practitioner | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2018-10-06 |
| 1679915458 | Rebecca Nichole Moore | Nurse Practitioner | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2013-07-22 |
| 1881933224 | Doctox LLC | Clinical Medical Laboratory | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2013-02-05 |
| 1437403938 | Jennifer Jo Magness | Nurse Practitioner | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2012-11-05 |
| 1578833026 | Mark Donald Hall | Physician Assistant | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2011-12-30 |
| 1538483698 | Oklahoma Oncology and Hematology, P.C. | Radiology | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2010-03-18 |
| 1538397633 | Deborah Sue Mewbourne | Nurse Practitioner | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2009-06-26 |
| 1700040680 | Freelance Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2008-07-10 |
| 1902082258 | Lam D. Nguyen | Physical Medicine & Rehabilitation | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| 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. |
| 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 |
| 1689144602 | The Spine and Pain Center LLC | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2018-12-03 |
| 1639575160 | Uber Group Pllc | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2014-11-11 |
| Find all providers in TULSA | ||||
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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.