Morgan Vanderlick Quality Pain Management, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25659 Issued in OK

Legal business name

MORGAN VANDERLICK QUALITY PAIN MANAGEMENT, LLC

Practice address

1916 W C St
Jenks, OK 74037-2367

Phone

(918) 701-2055

Fax

(918) 701-2056

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Karen J Morgan-Vanderlick, M.D.

Title

Owner

Phone

(918) 701-2055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1306229422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 W C ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372367",
            "telephone_number": "918-701-2055",
            "fax_number": "918-701-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 W C ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372367",
            "telephone_number": "918-701-2055",
            "fax_number": "918-701-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN VANDERLICK QUALITY PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "MORGAN-VANDERLICK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-701-2055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OK",
            "license": "25659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20603340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Jean Milner
• Hannah Misi
• Melonee Starr Moe, P.T.
• Mary Ann Molinaro, D.P.T.
• Carolyn Neoma Moore, CTRS
• Melissa Morgan
• Abigail Mowry
• Kaitlyn A Munger, ATC
• Bailey Murphy
• Jenna Lee Musgrove, PA-C

• Pain Medicine (Anesthesiology) Physician in Jenks, OK
• Providers in Jenks, OK by specialty
• Pain Medicine (Anesthesiology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.