Owasso Pain Management

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

OWASSO PAIN MANAGEMENT

Doing business as

Owasso Pain Management

Practice address

12707 E 86TH St N
Owasso, OK 74055-2506

Phone

(918) 272-7432

Fax

(918) 272-7448

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Tracy L Standridge, DC

Title

Owner

Phone

(918) 272-7432

Specialties & licenses 1

Addresses

Other names 1

• Owasso Pain Management Doing business as

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1093293573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552506",
            "telephone_number": "918-272-7432",
            "fax_number": "918-272-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552506",
            "telephone_number": "918-272-7432",
            "fax_number": "918-272-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWASSO PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "STANDRIDGE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-272-7432",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owasso Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owasso Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Owasso Medical Facility LLC (St John Owasso)
• Owasso Medical Facility LLC
• Owasso Medical Facility, Inc (St. John Owasso)
• Owasso Nursing Center, Inc. (Sequoyah Pointe Living Center)
• Owasso Orthodontics
• Owasso Pediatric and Adolescent Medicine, P.L.C.
• Owasso Pediatric Dentistry, PLLC (Owasso Pediatric Dental)
• Owasso Periodontics and Dental Implants
• Owasso Public Schools
• Owasso Speech Co LLC (Owasso Speech Co)

• Interventional Pain Medicine Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Interventional Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.