REGENMEDOK (NPI# 1396357679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396357679 |
Entity Type | Organization |
Organization Name | REGENMEDOK |
Practice Address |
1150 E Lansing St Broken Arrow OK 74012-2429 |
Practice Telephone | 9189217661 |
Practice Fax Number | 9189217662 |
Mailing Telephone | 9189217661 |
Mailing Fax Number | 9189217662 |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-08-20 |
Authorized Official Name | LISA M BRISCOE (MANAGER) |
Authorized Official Telephone | 9189217661 |
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 |
1150 E LANSING ST |
City | BROKEN ARROW |
State | OK |
Zip Code | 74012-2429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346336856 | Daniel Gregory Morris | Anesthesiology | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2006-10-04 |
1952918963 | Total Anesthesia Group LLC | Anesthesiology | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2020-09-24 |
1528557386 | Osu Center for Health Sciences | Clinic/Center | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2018-05-08 |
1841649050 | Premier Pain Associates Inc. | Anesthesiology | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2016-06-08 |
1891068938 | Sharon L Smith | Nurse Practitioner | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2012-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
Find all providers in zip 74012 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154694537 | The Restorative Pain To Wellness Center, Inc. | Clinic/Center | 2033 W Houston St, Broken Arrow, OK 74012-8304 | 2012-02-16 |
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 |
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 |
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 |
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 |
1366875999 | Midtown Medical Neuropathy, LLC | Clinic/Center | 3311 S Yale Ave, Suite 210, Tulsa, OK 74135-8036 | 2013-08-19 |
Find all providers with the same taxonomy |
City | BROKEN ARROW |
Zip Code | 74012 |
Please comment or provide details below to improve the information on REGENMEDOK.
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.