Provider Type Icon

GENESIS MEDICAL PLLC NPI 1578174074


NPI Information

NPI: 1578174074
Provider Name: GENESIS MEDICAL PLLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
2002 12TH AVE NW STE B
ARDMORE, OK
ZIP 73401
Phone: (580) 221-2022
Get Directions

GENESIS MEDICAL PLLC is a pain medicine anesthesiology in Ardmore, OK. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. GENESIS MEDICAL PLLC NPI is 1578174074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2002 12TH AVE NW STE B
ARDMORE, OK
ZIP 73401-206
Phone: (580) 221-2022
Fax: (580) 221-2024

The provider's authorized official is Sherry Lynne Clark .
The authorized official title is Billing/credentialing and has the following contact phone number (580) 223-5180.

The enumeration date for this NPI number is 8/10/2020 and was last updated on 8/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.