Oklahoma Pain & Rehab LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

OKLAHOMA PAIN & REHAB LLC

Practice address

2149 SW 59TH St
Suite 201
Oklahoma City, OK 73119-7033

Phone

(405) 681-5800

NPI assigned

Apr 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Ryan

Title

Owner

Phone

(405) 926-7926

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Robert Faust, P.A.-C

  • Medical Physician Assistant
  • Peoria, AZ
  • NPI 1326174954
  NPD (past)
• Yeh Johnson, PA

  • Physician Assistant
  • Riverbank, CA
  • NPI 1164460549
  NPD (past)
• Antonio Casino Sabal Sr., M.D.

  • Adult Medicine Physician
  • Phoenix, AZ
  • NPI 1851501258
  NPD (past)
• Vern Oscar Strubeck, DO

  • Adult Medicine Physician
  • Tucson, AZ
  • NPI 1013214774
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1013207505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 SW 59TH ST",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 SW 59TH ST",
            "address_2": "SUITE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731197033",
            "telephone_number": "405-681-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA PAIN & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-926-7926"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200388340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Orthopaedic Oncology, PC
• Oklahoma Orthopaedic Specialites PC
• Oklahoma Otolaryngology Associates, LLC
• Oklahoma Outpatient Pain and Spine Center LLC
• Oklahoma Outpatient Surgery Limited Partnership
• Oklahoma Pain Care LLC
• Oklahoma Pain Management PLLC
• Oklahoma Pain Management PLLC
• Oklahoma Pain Physicians PC
• Oklahoma Paincare Inc.

• Sports Medicine (Internal Medicine) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Sports Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.