Active NPI
Memorial Pain Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 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 |
|---|---|---|---|
| 37D2316194 | Memorial Pain Surgery Center, LLC | Certificate of waiver | Dec 29, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pain Medicine Physician
- Oklahoma City, OK
- NPI 1629456504
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.