Active NPI
Comprehensive Pain Management of Oklahoma, P.L.L.C.
- Pain Medicine Physician
- Yukon, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 4373
- Legal business name
- COMPREHENSIVE PAIN MANAGEMENT OF OKLAHOMA, P.L.L.C.
- Practice address
- 432 S Mustang Rd Ste a
Yukon, OK 73099-7312 - Phone
- (405) 467-4399
- Fax
- (405) 467-4481
- NPI assigned
- May 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Deborah Nilson, DO
- Title
- Owner
- Phone
- (405) 568-2593
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 4373 | OK | Primary |
Addresses
Primary practice location
432 S Mustang Rd Ste a
Yukon, OK 73099-7312
Mailing address
432 S Mustang Rd Ste a
Yukon, OK 73099-7312
Phone (405) 467-4399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200593290B | Medicaid | OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2179695 | Comprehensive Pain Management of Oklahoma | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
432 S Mustang Rd
Ste A
Yukon, OK 73099
Phone (405) 467-4399
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Yukon, OK
- NPI 1134135411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1073992889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S MUSTANG RD STE A",
"city": "YUKON",
"state": "OK",
"postal_code": "730997312",
"telephone_number": "405-467-4399",
"fax_number": "405-467-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 S MUSTANG RD STE A",
"city": "YUKON",
"state": "OK",
"postal_code": "730997312",
"telephone_number": "405-467-4399",
"fax_number": "405-467-4481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PAIN MANAGEMENT OF OKLAHOMA, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-26",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "NILSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-568-2593",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "OK",
"license": "4373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200593290B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.