TULSA PAIN CONSULTANTS, INC (NPI# 1316074834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316074834 |
| Entity Type | Organization |
| Organization Name | TULSA PAIN CONSULTANTS, INC |
| Practice Address |
10810 E 45th St Ste 400 Tulsa OK 74146-3806 |
| Mailing Address |
Po Box 268996 Oklahoma City OK 73126-8996 |
| Practice Telephone | 9187427030 |
| Practice Fax Number | 9187429958 |
| Mailing Telephone | 9187427030 |
| Mailing Fax Number | 9187429958 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | ANDREW FRANK REVELIS (PRESIDENT) |
| Authorized Official Telephone | 9187427030 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100743930A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 S Wheeling Ave, Suite 600, Tulsa, OK 741045649 | 9187427030 |
| Street Address |
10810 E 45TH ST STE 400 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809080 | Andreas Frank Revelis | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| 1932613288 | Jessica Louise Mcelhenny | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2017-11-24 |
| 1609392505 | Suzanne Stella Bjornson | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2017-08-22 |
| 1265882930 | Keah Allen | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2016-06-14 |
| 1447298120 | Bryan Andrew Vandoren | Internal Medicine | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2006-06-03 |
| 1962405035 | Martin Leo Martucci | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| 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 |
| 1124628656 | Cherry Street Pain Clinic LLC | Clinic/Center | 1810 E 15th St Ste B, Tulsa, OK 74104-4611 | 2020-10-26 |
| 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 |
| 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.