OKLAHOMA PAIN & REHAB LLC (NPI# 1013207505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013207505 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA PAIN & REHAB LLC |
| Practice Address |
2149 Sw 59th St Suite 201 Oklahoma City OK 73119-7033 |
| Practice Telephone | 4056815800 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | KIM RYAN (OWNER) |
| Authorized Official Telephone | 4059267926 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200388340A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710277207 | Oklahoma Pain & Rehab LLC | Family Medicine | 2121 S Columbia Ave, Suite 501, Tulsa, OK 74114-3505 | 2011-04-18 |
| Street Address |
2149 SW 59TH ST SUITE 201 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73119-7033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382299 | Henry M Allen | Specialist | 2149 Sw 59th St, Suite 104, Oklahoma City, OK 73119-7033 | 2006-03-29 |
| 1114236759 | Southwest Family Clinic | Neuromusculoskeletal Medicine & OMM | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2010-09-30 |
| 1215259882 | Michael H.mowdy D.o Inc | Internal Medicine | 2149 Sw 59th St, Suite 203, Oklahoma City, OK 73119-7033 | 2010-02-23 |
| 1427292465 | South Oklahoma Orthopedics Inc. | Orthopaedic Surgery | 2149 Sw 59th St, 102, Oklahoma City, OK 73119-7033 | 2009-04-21 |
| 1295977064 | Western Medical Associates | Clinic/Center | 2149 Sw 59th St, Suite No. 104, Oklahoma City, OK 73119-7033 | 2009-03-25 |
| 1902088388 | Maria D Coffey | Occupational Therapist | 2149 Sw 59th St, 201, Oklahoma City, OK 73119 | 2007-11-28 |
| 1174729834 | Associated Orthopedics, Inc | Orthopaedic Surgery | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2007-06-21 |
| 1881768414 | Joe M Beasley | Physician Assistant | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2006-11-17 |
| 1568544062 | Advanced Occupational Rehabilitation, Inc | Family Medicine | 2149 Sw 59th St, Oklahoma City, OK 73119-7033 | 2006-10-20 |
| 1841372349 | Shelly L Venters-jacobs | Family Medicine | 2149 Sw 59th St, Oklahoma City, Oklahoma City, OK 73119-7033 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376064592 | Focus Optical Inc. | Technician/Technologist | 12444 Nw 10th St, Bldg H Ste 101, Oklahoma City, OK 73119 | 2017-06-28 |
| 1730561176 | Elaine C Cheatham | Case Manager/Care Coordinator | 2124 Sw 48th Street, Oklahoma City, OK 73119 | 2015-06-22 |
| 1215326038 | Life and Hope Counseling LLC | Counselor | 2212 Sw 55th St, Okc, OK 73119 | 2015-01-16 |
| 1063761179 | Virginia Sanchez | Counselor | 2508 Sw 56th Street, Oklahoma City, OK 73119 | 2012-09-05 |
| 1720367493 | Hilarie Dawn Danner | Counselor | 2434 Sw 44 St., Oklahoma City, OK 73119 | 2011-08-11 |
| 1265630032 | Optics Inc Economy Square Optical | Technician/Technologist | 1605 Sw 59, Donnas Optical, Ok City, OK 73119 | 2007-07-03 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1073625299 | Nathan Dennis Schacter | Chiropractor | 2228 Sw 59th, Oklahoma City, OK 73119 | 2006-09-01 |
| 1548289655 | John Bernard Hughes Jr. | Orthopaedic Surgery | 2149 Southwest 59th Street, Suite 102, Oklahoma City, OK 73119 | 2006-07-19 |
| Find all providers in zip 73119 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730157074 | E Randy Eichner | Internal Medicine | 825 Ne 10th St, Oupb 5200, Oklahoma City, OK 73104-5417 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043373533 | Val Gene Iven | Internal Medicine | 170 Athletics Center, Osu Sportsmedicine, Stillwater, OK 74078 | 2006-12-18 |
| 1104995653 | Advanced Occupational Rehabilitaion,inc | Internal Medicine | 2121 S Columbia Ave Ste 501, Tulsa, OK 74114-3513 | 2006-11-07 |
| 1720354202 | Michele L Neil Do, Pllc | Internal Medicine | 6048 S Sheridan Rd, Tulsa, OK 74145-9212 | 2012-03-28 |
| 1841508918 | Jack E Weaver, Md PC | Internal Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-09-22 |
| 1275633455 | Stephanie Husen | Internal Medicine | 6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 | 2006-09-25 |
| City | OKLAHOMA CITY |
| Zip Code | 73119 |
Please comment or provide details below to improve the information on OKLAHOMA PAIN & REHAB LLC.
| 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.