CHERRY STREET PAIN CLINIC LLC (NPI# 1124628656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124628656 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET PAIN CLINIC LLC |
| Practice Address |
1810 E 15th St Ste B Tulsa OK 74104-4611 |
| Practice Telephone | 9188366454 |
| Mailing Telephone | 9188366454 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | DR. VERNON CURTIS SMITH (OWNER) |
| Authorized Official Telephone | 9188366454 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
1810 E 15TH ST STE B |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720631484 | Physical Therapy Specialists of Tulsa LLC | Physical Therapist | 1810 E 15th St Ste B, Tulsa, OK 74104-4611 | 2019-07-22 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669785 | 918 Wellness LLC | Clinic/Center | 1320 E 15th St, Tulsa, OK 74120-5804 | 2020-11-04 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1356815708 | Metro Tulsa Pain Management | Clinic/Center | 6547 E 71st St, Tulsa, OK 74133-2755 | 2019-01-18 |
| 1366875999 | Midtown Medical Neuropathy, LLC | Clinic/Center | 3311 S Yale Ave, Suite 210, Tulsa, OK 74135-8036 | 2013-08-19 |
| 1376862771 | Oklahoma Pain and Wellness Center, Plc | Clinic/Center | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2010-05-25 |
| 1316074834 | Tulsa Pain Consultants, Inc | Clinic/Center | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164718961 | Ucr Medical, Inc | Clinic/Center | 309 E Ray Fine Blvd, Roland, OK 74954-5160 | 2011-06-21 |
| 1629254651 | Angesl Health Care Clinic | Clinic/Center | 230 E 5th St, Pawhuska, OK 74056-5204 | 2008-01-22 |
| 1124042809 | Footcare & More LLC | Clinic/Center | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-07-27 |
| 1396357679 | Regenmedok | Clinic/Center | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2020-08-19 |
| 1790283752 | Affinity Health LLC | Clinic/Center | 301 N Broadway St, Poteau, OK 74953-3355 | 2018-01-24 |
| 1871039396 | Northern Oklahoma Addiction Clinic | Clinic/Center | 304 Boulder St, Pawnee, OK 74058-4028 | 2017-01-08 |
| 1639419393 | Mcalester Anesthesia and Respiratory Services Inc | Clinic/Center | 4 E Clark Bass Blvd, Ste. 205, Mcalester, OK 74501-4269 | 2013-02-18 |
| 1477829554 | Medical Center Pain Clinic, Pllc | Clinic/Center | 1226 N Shartel Ave, Suite 300, Oklahoma City, OK 73103 | 2012-03-22 |
| 1154694537 | The Restorative Pain To Wellness Center, Inc. | Clinic/Center | 2033 W Houston St, Broken Arrow, OK 74012-8304 | 2012-02-16 |
| 1336337393 | Norman Interventional Pain Management Pllc | Clinic/Center | 3650 W Rock Creek Rd, Suite 100, Norman, OK 73072-2202 | 2007-10-04 |
| Find all providers with the same taxonomy | ||||
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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.