PMO MEDICAL PLLC (NPI# 1437638228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437638228 |
| Entity Type | Organization |
| Organization Name | PMO MEDICAL PLLC |
| Practice Address |
4 E Clark Bass Blvd Ste 205 Mcalester OK 74501-4285 |
| Mailing Address |
701 W Queens St Ste 100 Broken Arrow OK 74012-1785 |
| Practice Telephone | 9184218897 |
| Mailing Telephone | 9187946008 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Authorized Official Name | JEFFREY HALFORD (PHYSICIAN / OWNER) |
| Authorized Official Telephone | 9187946008 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
3924 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200618300E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771874 | Pmo Medical Pllc | Physical Medicine & Rehabilitation | 401 E Broadway Ct Ste A, Sand Springs, OK 74063-7931 | 2018-02-22 |
| 1376044503 | Pmo Medical Pllc | Physical Medicine & Rehabilitation | 601 E 13th St Ste H, Grove, OK 74344-2962 | 2018-02-22 |
| 1780109652 | Pmo Medical Pllc | Anesthesiology | 3807 W Cherokee Ave, Sallisaw, OK 74955-2452 | 2017-08-11 |
| 1780054627 | Pmo Medical Pllc | Physical Medicine & Rehabilitation | 701 W Queens St, Suite 100, Broken Arrow, OK 74012-1784 | 2015-10-05 |
| Street Address |
4 E CLARK BASS BLVD STE 205 |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063436947 | Brian Keith Rich | Emergency Medicine | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2006-07-26 |
| 1740636182 | Leah King | Technician, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2016-05-04 |
| 1770981177 | Edlyne Boyer | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-17 |
| 1366840753 | Patty Backer | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-17 |
| 1467850909 | Dana Jill Quinton | Specialist/Technologist, Other | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2014-12-16 |
| 1467677492 | Lee Halvor Simpson | Physician Assistant | 4 E Clark Bass Blvd Ste 205, Mcalester, OK 74501-4285 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
| 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 |
| 1275959686 | Advanced Strategies In Medical Management | Physical Medicine & Rehabilitation | 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 | 2014-03-10 |
| 1073869715 | Rui Zhang | Physical Medicine & Rehabilitation | 620 S Madison St Ste 105, Enid, OK 73701-7270 | 2012-07-31 |
| 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 |
| 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 |
| 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.