NATIONAL CENTERS FOR PAIN MANAGEMENT AND RESEARCH, LLC (NPI# 1265857056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265857056 |
| Entity Type | Organization |
| Organization Name | NATIONAL CENTERS FOR PAIN MANAGEMENT AND RESEARCH, LLC |
| Other Organization Name | OKLAHOMA PAIN MANAGEMENT AND RESEARCH |
| Practice Address |
3330 Nw 56th St Suite 612 Oklahoma City OK 73112-4479 |
| Mailing Address |
860 Montclair Rd Suite 955 Birmingham AL 35213-1923 |
| Practice Telephone | 4056018810 |
| Practice Fax Number | 8777958060 |
| Mailing Telephone | 2053323160 |
| Mailing Fax Number | 8667020880 |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | SHAWN HOOD (CEO) |
| Authorized Official Telephone | 2058683167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 27258 | OK | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
27258 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oklahoma Pain Management and Research | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649696097 | National Centers for Pain Management and Research, LLC | Physical Medicine & Rehabilitation | 105 S Bryant Ave, Suite 301, Edmond, OK 73034-6399 | 2014-03-10 |
| 1467877258 | National Centers for Pain Management and Research, LLC | Physical Medicine & Rehabilitation | 11685 Alpharetta Hwy, Suite 290, Roswell, GA 30076-4913 | 2014-03-03 |
| 1275958068 | National Centers for Pain Management and Research, LLC | Anesthesiology | 727 Memorial Dr, Bessemer, AL 35022-6029 | 2014-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | NATIONAL CENTERS FOR PAIN MANAGEMENT AND RESEARCH, LLC | 860 Montclair Road, Suite 955, Birmingham, AL 35213 |
| Street Address |
3330 NW 56TH ST SUITE 612 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697761 | Georgianne M Snowden | Radiology | 3330 Nw 56th St, Ste 206, Oklahoma City, OK 73112-4426 | 2005-05-24 |
| 1013444298 | Essential Integrative Health Pllc | Phlebology | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2017-05-18 |
| 1093165227 | Kourtney Peterson | Registered Nurse | 3330 Nw 56th St, Suite 208, Oklahoma City, OK 73112-4479 | 2016-06-19 |
| 1548615081 | Tricia Strahorn | Dietitian, Registered | 3330 Nw 56th St, Suite 106, Oklahoma City, OK 73112-4479 | 2016-05-03 |
| 1972963353 | Frontier Health Services, LLC | Internal Medicine | 3330 Nw 56th St, Oklahoma City, OK 73112-4479 | 2016-02-29 |
| 1114394251 | Shamika Mack | Nurse Practitioner | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2015-08-24 |
| 1114300316 | Matthew Munda | Nurse Practitioner | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2015-07-07 |
| 1689070047 | Dr. Scott L. Shields, P.C. | Podiatrist | 3330 Nw 56th St, Suite 600, Oklahoma City, OK 73112-4479 | 2014-11-13 |
| 1649672031 | Ashton Nicole Miller | Registered Nurse | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2014-09-17 |
| 1053712737 | David G. Wade Dpm Pllc | Podiatrist | 3330 Nw 56th St, #600, Oklahoma City, OK 73112-4479 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487147 | Zackery R Devine | Physical Medicine & Rehabilitation | 1029 Ne 6th St Apt 331, Oklahoma City, OK 73117-1459 | 2020-11-03 |
| 1275959686 | Advanced Strategies In Medical Management | Physical Medicine & Rehabilitation | 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 | 2014-03-10 |
| 1437371952 | Pbghezzi,pllc | Physical Medicine & Rehabilitation | 310 Nw 21st Street, Oklahoma City, OK 73103 | 2007-05-03 |
| 1003036518 | Back & Posture Clinic of Oklahoma | Physical Medicine & Rehabilitation | 6510 S Western Ave Ste 100, Oklahoma City, OK 73139-1712 | 2007-04-26 |
| 1306263744 | Advanced Strategies In Injury Care | Physical Medicine & Rehabilitation | 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 | 2014-03-24 |
| 1417373366 | Advanced Strategies In Medical Management | Physical Medicine & Rehabilitation | 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 | 2014-03-14 |
| 1568885416 | Oklahoma Spine and Musculoskeletal Medicine, Pllc | Physical Medicine & Rehabilitation | 700 Nw 7th St, Suite 115, Oklahoma City, OK 73102-1212 | 2014-01-29 |
| 1861449563 | Rita Malvaso Hancock | Physical Medicine & Rehabilitation | 3110 Sw 89th St, Suite 200c, Oklahoma City, OK 73159-7920 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878269 | Tulsa Accident Care Center LLC | Physical Medicine & Rehabilitation | 5711 E 71st St Ste 100c, Tulsa, OK 74136-6655 | 2020-07-08 |
| 1265833842 | Rita Hancock Md Pllc | Physical Medicine & Rehabilitation | 1020 24th Ave Nw Ste 100, Norman, OK 73069-6341 | 2014-09-15 |
| 1073869715 | Rui Zhang | Physical Medicine & Rehabilitation | 620 S Madison St Ste 105, Enid, OK 73701-7270 | 2012-07-31 |
| 1639211386 | Thomas A Maibenco | Physical Medicine & Rehabilitation | 1500 E Downing St Ste 101, Tahlequah, OK 74464-3354 | 2007-02-12 |
| 1003981135 | Anil Kumar Reddy | Physical Medicine & Rehabilitation | 9725 East 79th Street, Suit A, Tulsa, OK 74133-4569 | 2006-11-22 |
| 1326148123 | Jeffrey S Halsell Do Pllc | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2006-09-22 |
| 1811907538 | Omega Practice Management Inc | Physical Medicine & Rehabilitation | 1145 S. Utica, Ste 901, Tulsa, OK 74104-4013 | 2006-08-08 |
| 1376546531 | Timothy Pettingell | Physical Medicine & Rehabilitation | 4735 E 91st St, Suite 100, Tulsa, OK 74137-2807 | 2005-05-23 |
| 1851922140 | Jpk LLC | Physical Medicine & Rehabilitation | 7030 S Lewis Ave Ste M, Tulsa, OK 74136-3915 | 2020-01-27 |
| 1699246645 | Advanced Pain of Tulsa Pllc | Physical Medicine & Rehabilitation | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.