Tulsa Pain Consultants, Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

TULSA PAIN CONSULTANTS, INC

Practice address

10810 E 45TH St Ste 400
Tulsa, OK 74146-3806

Phone

(918) 742-7030

Fax

(918) 742-9958

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Andrew Frank Revelis, M.D.

Title

President

Phone

(918) 742-7030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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

• Andrew Lott Barker, M.D.

  • Pain Medicine Physician
  • Tulsa, OK
  • NPI 1083858138
  Medicare reassignment Care Compare group NPD
• Bradley Christianson, DO

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
  • NPI 1134178411
  Medicare reassignment Care Compare group NPD
• Matthew Timmins Gill, FNP

  • Family Nurse Practitioner
  • Collinsville, OK
  • NPI 1114251238
  Medicare reassignment Care Compare group NPD
• Martin Leo Martucci, M.D.

  • Pain Medicine Physician
  • Tulsa, OK
  • NPI 1962405035
  Medicare reassignment Care Compare group NPD
• Jamie Harris, CRNA

  • Certified Registered Nurse Anesthetist
  • Tulsa, OK
  • NPI 1942653530
  Medicare reassignment NPD
• Alen Michael, MD

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1154827293

  OK

  Medicare reassignment
• Lindsey Ann Behlen, D.O.M.

  • Acupuncturist
  • Tulsa, OK
  • NPI 1912232950
  NPD (past)
• Lisa C. Goulden, PH.D.

  • Psychologist
  • Tulsa, OK
  • NPI 1851422869
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1316074834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268996",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268996",
            "telephone_number": "918-742-7030",
            "fax_number": "918-742-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 E 45TH ST STE 400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463806",
            "telephone_number": "918-742-7030",
            "fax_number": "918-742-9958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Wheeling Ave",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045649",
            "country_code": "US",
            "telephone_number": "918-742-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TULSA PAIN CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "REVELIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-742-7030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100743930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tulsa Pediatric and Adolescent Medicine, PC
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• Pain Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pain Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.