Organization Active NPI

Memorial Pain Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1154164556
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEMORIAL PAIN SURGERY CENTER, LLC
Practice address
1810 E Memorial Rd
Oklahoma City, OK 73131-1237
Phone
(405) 906-4020
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Morgan Pollard, MD
Title
President
Phone
(405) 906-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1810 E Memorial Rd
Oklahoma City, OK 73131-1237

Mailing address

1810 E Memorial Rd
Oklahoma City, OK 73131-1237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241023001579 OK Part B Supplier - Ambulatory Surgical Center 6406389964 Practice locations: Oklahoma City, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154164556. Details of each certification follow.

Ambulatory surgical center certification: CCN 37C0001083

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Memorial Pain Surgery Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 23, 2025
Last certification
Nov 20, 2025
Facility address
1810 E Memorial Rd, Suite A
Oklahoma City, OK 73131

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2316194Memorial Pain Surgery Center, LLC1810 E Memorial Rd, Ste a, Oklahoma City, OK 73131Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1154164556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731311237",
            "telephone_number": "405-906-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PAIN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-906-4020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.