Domed Enterprises PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

DOMED ENTERPRISES PLLC

Practice address

6717 S Yale Ave Ste 210
Tulsa, OK 74136-3328

Phone

(214) 399-7270

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Lee Wiley, DONPI 1851974653

Title

Owner

Phone

(918) 675-0068

Specialties & licenses 1

Addresses

Other names 2

• Oklahoma Pain Associates Doing business as
• Oklahoma Primary Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Jodi Lee Wiley, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1851974653

  Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Krissi Lynn Henderson, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1629685813
  Medicare reassignment Care Compare group NPD
• Kourtney Lynn Goss

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1700488871
  Medicare reassignment NPD
• Alexis Michelle Stonerock, FNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1871209296
  NPD (past)

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1033958673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE STE 210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363328",
            "telephone_number": "918-675-0068",
            "fax_number": "918-675-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE STE 210",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363328",
            "telephone_number": "214-399-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMED ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-675-0068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma Primary Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Rhodes Dolan, P.A.-C
• Elisha Rannell Dolbow, C.F.A.
• Elizabeth Kay Dolin, D.O.
• Daniel Dollins
• Crystal Lee Dombrovski, RN
• Kaitlin Paige Domek
• Domestic Violence Intervention Services, (Dvis)/Call Rape, Inc.
• Domestic Violence Intervention Services, Inc.
• Domestic Violence Intervention Services/ Call Rape
• Domestic Violence Intervention Services/Call Rape

• Pain Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.