SOONER PAIN CLINIC, LLC (NPI# 1164893228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164893228 |
| Entity Type | Organization |
| Organization Name | SOONER PAIN CLINIC, LLC |
| Practice Address |
5509 Main St Suite 100 Del City OK 73115-5510 |
| Mailing Address |
Po Box 270663 Oklahoma City OK 73137-0663 |
| Practice Telephone | 4056040901 |
| Practice Fax Number | 4056040902 |
| Mailing Telephone | 4057759350 |
| Mailing Fax Number | 4057759350 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | GEORGE B DAWSON (OWNER) |
| Authorized Official Telephone | 4056040901 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
18162 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
5509 MAIN ST SUITE 100 |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750379855 | George B Dawson | Anesthesiology | 5509 Main St, Suite 100, Del City, OK 73115-5501 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013353440 | Oklahoma Pain Institute Pllc | Pain Medicine | 4600 Se 29th St, Suite 750, Del City, OK 73115-3406 | 2013-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383919 | Bdc Medical Pllc | Pain Medicine | 3101 W Tecumseh Rd Ste 102, Norman, OK 73072-1816 | 2020-07-22 |
| 1013525898 | Adaptive Pain Management LLC | Pain Medicine | 6703 E 81st St Ste E-1, Tulsa, OK 74133-4153 | 2020-07-17 |
| 1376192294 | Elite Pain & Health PC | Pain Medicine | 2020 S Service Rd, Moore, OK 73160-5512 | 2019-09-04 |
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1255810321 | Covenant Pain Management Clinic | Pain Medicine | 7615 E 63rd Pl Ste 104, Tulsa, OK 74133-1231 | 2018-08-09 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1982194908 | Glenpool Pain Management LLC | Pain Medicine | 148 W Main St Ste A, Glenpool, OK 74033 | 2018-05-15 |
| 1558885749 | Western Oklahoma Pain Specialists LLC | Pain Medicine | 1901 W 3rd St Ste C, Elk City, OK 73644-4340 | 2017-07-28 |
| 1942620604 | Joshua Marvin Woolard | Pain Medicine | 3601 Nw 138th St Ste 200, Oklahoma City, OK 73134-2513 | 2014-04-21 |
| 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.