OMEGA PRACTICE MANAGEMENT INC (NPI# 1811907538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811907538 |
| Entity Type | Organization |
| Organization Name | OMEGA PRACTICE MANAGEMENT INC |
| Practice Address |
1145 S. Utica Ste 901 Tulsa OK 74104-4013 |
| Mailing Address |
9130 E 77th St Tulsa OK 74133-4922 |
| Practice Telephone | 9183927071 |
| Practice Fax Number | 9183927072 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | DR. ANIL K REDDY (PHYSICAL MEDICINE & REHABILITIATION) |
| Authorized Official Telephone | 9183927071 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BLUECROSSBLUESHIELD OF OK | 085841112004 | 01 |
| OK | 100010230B | 05 |
| Street Address |
1145 S. UTICA STE 901 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878269 | Tulsa Accident Care Center LLC | Physical Medicine & Rehabilitation | 5711 E 71st St Ste 100c, Tulsa, OK 74136-6655 | 2020-07-08 |
| 1003981135 | Anil Kumar Reddy | Physical Medicine & Rehabilitation | 9725 East 79th Street, Suit A, Tulsa, OK 74133-4569 | 2006-11-22 |
| 1326148123 | Jeffrey S Halsell Do Pllc | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2006-09-22 |
| 1376546531 | Timothy Pettingell | Physical Medicine & Rehabilitation | 4735 E 91st St, Suite 100, Tulsa, OK 74137-2807 | 2005-05-23 |
| 1851922140 | Jpk LLC | Physical Medicine & Rehabilitation | 7030 S Lewis Ave Ste M, Tulsa, OK 74136-3915 | 2020-01-27 |
| 1699246645 | Advanced Pain of Tulsa Pllc | Physical Medicine & Rehabilitation | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2018-12-16 |
| 1467711929 | Brandon S Claflin, Do, Pllc | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2012-05-03 |
| 1538474648 | Kelly Jean Volk | Physical Medicine & Rehabilitation | 2448 E 81st St, St#363, Tulsa, OK 74137-4250 | 2010-08-12 |
| 1972750941 | Electrodiagnostic Medicine of Tulsa | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2008-08-21 |
| 1902082258 | Lam D. Nguyen | Physical Medicine & Rehabilitation | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2008-01-17 |
| 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.