RED RIVER MEDICAL SERVICES LLC (NPI# 1558981472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558981472 |
| Entity Type | Organization |
| Organization Name | RED RIVER MEDICAL SERVICES LLC |
| Practice Address |
4411 W Gore Blvd Ste A2 Lawton OK 73505-5977 |
| Practice Telephone | 5807300510 |
| Practice Fax Number | 5803578787 |
| Mailing Telephone | 5807300510 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | RONDA F NORRELL (CREDENTIALING) |
| Authorized Official Telephone | 5806950101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4411 W GORE BLVD STE A2 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965044 | Community Wellness Clinic, LLC | Pain Medicine | 707 S Roland Rd Ste 6, Roland, OK 74954-5337 | 2019-11-04 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1184152001 | Oklahoma Chronic Pain Specialists, Pllc | Pain Medicine | 10124 S Sheridan Rd Ste B, Tulsa, OK 74133-6742 | 2017-05-23 |
| 1144754797 | Community Family Medical Clinic, LLC | Pain Medicine | 508 W Ray Fine Blvd, Roland, OK 74954-5262 | 2017-04-19 |
| 1073992889 | Comprehensive Pain Management of Oklahoma, P.l.l.c. | Pain Medicine | 432 S Mustang Rd Ste A, Yukon, OK 73099-7312 | 2015-05-26 |
| 1730428939 | Affordable Weight Loss and Pain Management Clinic Pllc | Pain Medicine | 810 W Broadway St, Ardmore, OK 73401-4527 | 2013-02-07 |
| 1285737098 | David W Asher | Pain Medicine | 1836 E 15th St, Tulsa, OK 74104 | 2006-09-07 |
| 1164469219 | Donald H Kim Md PC | Pain Medicine | 10629 S Western Ave, Oklahoma City, OK 73170-6200 | 2006-05-31 |
| 1922063510 | Benjamin Baker Fore | Pain Medicine | 1005 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-04-18 |
| 1245220839 | Joshua J. Livingston | Pain Medicine | 2033 W Houston St, Broken Arrow, OK 74012-8304 | 2005-10-25 |
| 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.