South Tulsa Pain Management LLC.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SOUTH TULSA PAIN MANAGEMENT LLC.

Practice address

12345 S Memorial Dr Ste 106
Bixby, OK 74008

Phone

(918) 520-9692

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. James L Jolley, D.C.NPI 1831338862

Title

Owner

Phone

(918) 520-9692

Specialties & licenses 1

Addresses

Other names 1

• South Tulsa Pain Management Doing business as

Locations

Practitioners 1

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

• James Luke Jolley, D.C.

  • Chiropractor
  • Bixby, OK
  • NPI 1831338862
  NPD (past) Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1255821005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 S MEMORIAL DR STE 111",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740082570",
            "telephone_number": "918-520-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 S MEMORIAL DR STE 106",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "74008",
            "telephone_number": "918-520-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULSA PAIN MANAGEMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-520-9692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "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": "South Tulsa Pain Management",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Tulsa Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amanda A Spears, LCSW

• Interventional Pain Medicine Physician in Bixby, OK
• Providers in Bixby, 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 Sep 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.