PHYSICIAN'S ACUPUNCTURE, LLC


Address: 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331
Phone: 4054310804

PHYSICIAN'S ACUPUNCTURE, LLC (NPI# 1922341635) 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) 1922341635
Entity Type Organization
Organization Name PHYSICIAN'S ACUPUNCTURE, LLC
Other Organization Name MD SCIENTIFIC ACUPUNCTURE
Practice Address 105 S Bryant Ave Ste 404
Edmond
OK 73034-6331
Mailing Address 1405 Nighthawk Dr
Edmond
OK 73034-6112
Practice Telephone 4054310804
Mailing Telephone 4053261885
Enumeration Date 2013-04-01
Last Update Date 2013-04-01
Authorized Official Name DR. GRIGORY V. CHERNYAK (DIRECTOR/OWNER)
Authorized Official Telephone 4053261885
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
23791 OK Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
MD Scientific Acupuncture Doing Business As Name - Organization

Office Location

Street Address 105 S BRYANT AVE STE 404
City EDMOND
State OK
Zip Code 73034-6331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124646971 Board of Regents of The University of Oklahoma - Ou Physicians Clinic/Center 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331 2020-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
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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
1538482146 George Alhaj Md, PC Anesthesiology 517 Nw 154th St, Edmond, OK 73013-1154 2010-03-10

Providers in the same taxonomy and state

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
1306229422 Morgan Vanderlick Quality Pain Management, LLC Anesthesiology 1916 W C St, Jenks, OK 74037-2367 2015-07-07
1841692274 Precision Pain Management LLC Anesthesiology 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 2014-09-17
1174889778 Sailesh Arulkumar Anesthesiology 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 2012-04-09
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
1851551790 Shawn Michael Ellis Anesthesiology 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134-1717 2008-06-13
1851581185 Emad Samir Attallah-wasif Anesthesiology 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 2007-08-01
1518162528 Karen J Morgan-vanderlick Anesthesiology 1916w C St, Jenks, OK 74037-2367 2007-06-19
1114133907 Michael C Owens Anesthesiology 427 E Cherokee Ave, Enid, OK 73701-5823 2007-05-16
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Competitor

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City EDMOND
Zip Code 73034

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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