ELIZABETH A WICKERSHAM (NPI# 1992706048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992706048 |
| Entity Type | Individual |
| Full Name | ELIZABETH A WICKERSHAM |
| Credential | M.D. |
| Practice Address |
4345 W Memorial Rd Suite 110 Oklahoma City OK 73134-1702 |
| Practice Telephone | 4054187000 |
| Practice Fax Number | 4054187099 |
| Mailing Telephone | 4054187000 |
| Mailing Fax Number | 4054187099 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20273 | OK | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
20273 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200036870A | 05 |
| Street Address |
4345 W MEMORIAL RD SUITE 110 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73134-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912396193 | Emily Geurin Mclain | Physician Assistant | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2015-01-12 |
| 1710284849 | Rachel D Garrison | Nurse Practitioner | 4345 W Memorial Rd, Suite 200, Oklahoma City, OK 73134-1702 | 2011-02-25 |
| 1992033500 | Mercy Care LLC | Clinic/Center | 4345 W Memorial Rd, Ste 110, Oklahoma City, OK 73134-1702 | 2009-11-20 |
| 1881829455 | Kimberly Hummer | Internal Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2009-05-26 |
| 1356361380 | Roger E. Smith Jr. | Internal Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2006-07-20 |
| 1447297296 | Brent Keith Holliman | Physician Assistant | 4345 W Memorial Rd, Suite 200, Oklahoma City, OK 73134-1702 | 2006-06-01 |
| 1073504684 | Muneer Ahmad Khan | Internal Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
| 1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
| Find all providers in zip 73134 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469219 | Donald H Kim Md PC | Pain Medicine | 10629 S Western Ave, Oklahoma City, OK 73170-6200 | 2006-05-31 |
| 1639661333 | Clinilogic LLC | Pain Medicine | 3727 Nw 63rd St Ste 302, Oklahoma City, OK 73116-1931 | 2018-05-30 |
| 1306363965 | Oklahoma Anesthesia & Pain Treatment PC | Pain Medicine | 9800 Broadway Ext, Oklahoma City, OK 73114-6303 | 2017-08-24 |
| 1144643024 | Fiorella Avant Do Pllc | Pain Medicine | 401 Sw 80th St, Bldg D, Suite 101, Oklahoma City, OK 73139-8122 | 2014-01-28 |
| 1972872448 | Oklahoma Medical Pain Management | Pain Medicine | 3115 Sw 89th St, Oklahoma City, OK 73159-7901 | 2011-12-29 |
| 1780906594 | Am Pm Doctors Occupational Pain Center | Pain Medicine | 7109 W Hefner Rd, Suite D, Oklahoma City, OK 73162-4535 | 2010-02-20 |
| 1780816298 | Elite Pain Solutions LLC | Pain Medicine | 3110 Sw 89th St, 102, Oklahoma City, OK 73159-7920 | 2009-08-17 |
| 1669535787 | Sheth Pain Center PC | Pain Medicine | 4200 W Memorial Rd, 305, Oklahoma City, OK 73120-9350 | 2006-12-19 |
| 1992739908 | Comprehensive Pain Center, Inc. | Pain Medicine | 401 Sw 80th St, Building D, Suite 200, Oklahoma City, OK 73139-8122 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558981472 | Red River Medical Services LLC | Pain Medicine | 4411 W Gore Blvd Ste A2, Lawton, OK 73505-5977 | 2020-04-21 |
| 1154965044 | Community Wellness Clinic, LLC | Pain Medicine | 707 S Roland Rd Ste 6, Roland, OK 74954-5337 | 2019-11-04 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1184152001 | Oklahoma Chronic Pain Specialists, Pllc | Pain Medicine | 10124 S Sheridan Rd Ste B, Tulsa, OK 74133-6742 | 2017-05-23 |
| 1144754797 | Community Family Medical Clinic, LLC | Pain Medicine | 508 W Ray Fine Blvd, Roland, OK 74954-5262 | 2017-04-19 |
| 1073992889 | Comprehensive Pain Management of Oklahoma, P.l.l.c. | Pain Medicine | 432 S Mustang Rd Ste A, Yukon, OK 73099-7312 | 2015-05-26 |
| 1730428939 | Affordable Weight Loss and Pain Management Clinic Pllc | Pain Medicine | 810 W Broadway St, Ardmore, OK 73401-4527 | 2013-02-07 |
| 1285737098 | David W Asher | Pain Medicine | 1836 E 15th St, Tulsa, OK 74104 | 2006-09-07 |
| 1922063510 | Benjamin Baker Fore | Pain Medicine | 1005 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-04-18 |
| 1245220839 | Joshua J. Livingston | Pain Medicine | 2033 W Houston St, Broken Arrow, OK 74012-8304 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
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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.