Active NPI
Oklahoma Pain Physicians PC
- Interventional Pain Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1366822298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 27480
- Legal business name
- OKLAHOMA PAIN PHYSICIANS PC
- Practice address
- 13301 N Meridian Ave
BLDG 600
Oklahoma City, OK 73120-9369 - Phone
- (405) 606-8950
- Fax
- (405) 755-9113
- NPI assigned
- Jun 5, 2015
- 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
- Dr. Rafael Justiz III, M.D.
- Title
- Owner
- Phone
- (405) 606-8950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 27480 | OK | Primary |
Addresses
Primary practice location
13301 N Meridian Ave
BLDG 600
Oklahoma City, OK 73120-9369
Mailing address
13301 N Meridian Ave
BLDG 600
Oklahoma City, OK 73120-9369
Phone (405) 606-8950
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200109590A | Medicaid | OK | |
| 27480 | Other | OK | OKLAHOMA MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1366822298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13301 N MERIDIAN AVE",
"address_2": "BLDG 600",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209369",
"telephone_number": "405-606-8950",
"fax_number": "405-755-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13301 N MERIDIAN AVE",
"address_2": "BLDG 600",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731209369",
"telephone_number": "405-606-8950",
"fax_number": "405-755-9113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKLAHOMA PAIN PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-05",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "JUSTIZ",
"authorized_official_first_name": "RAFAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-606-8950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "27480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200109590A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA MEDICAL LICENSE",
"identifier": "27480",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Oklahoma Outpatient Surgery Limited Partnership (Oklahoma Surgicare)
- Oklahoma Pain & Rehab LLC
- Oklahoma Pain Care LLC
- Oklahoma Pain Management PLLC
- Oklahoma Pain Management PLLC
- Oklahoma Paincare Inc.
- Oklahoma Pediatric Digestive Institute, PLLC
- Oklahoma Perfusion, Inc
- Oklahoma Pet Center LLC
- Oklahoma Physical Therapy Spine Care - Rehab, L.L.C. (Oklahoma Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.