Advance Invasive Pain Management of Tulsa

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

14910 Issued in OK

Legal business name

ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA

Practice address

5018 E 68TH St
200
Tulsa, OK 74136-3367

Phone

(918) 925-9905

Fax

(918) 744-9729

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Colleen J Payne

Title

Director

Phone

(918) 744-1001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jerry May Keepers, M.D.

  • Specialist
  • Friendswood, TX
  • NPI 1568497139
  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1194138412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 E 68TH ST",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363367",
            "telephone_number": "918-925-9905",
            "fax_number": "918-744-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 E 68TH ST",
            "address_2": "200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363367",
            "telephone_number": "918-925-9905",
            "fax_number": "918-744-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE INVASIVE PAIN MANAGEMENT OF TULSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "918-744-1001"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "14910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tulsa, OK
• Interventional Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.