Organization Active NPI

Pmo Medical PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Grove, OK
National Provider Identifier
1376044503
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PMO MEDICAL PLLC
Practice address
601 E 13TH St Ste H
Grove, OK 74344-2962
Phone
(918) 786-2243
Fax
(918) 516-3447
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Jeffrey Halford, DO
Title
Physician / Owner
Phone
(918) 794-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

601 E 13TH St Ste H
Grove, OK 74344-2962

Mailing address

701 W Queens St Ste 100
Broken Arrow, OK 74012-1785
Phone (405) 794-6008

Other names 1

  • Pain Management of Oklahoma Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1376044503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W QUEENS ST STE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121785",
            "telephone_number": "405-794-6008",
            "fax_number": "918-516-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 13TH ST STE H",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442962",
            "telephone_number": "918-786-2243",
            "fax_number": "918-516-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "HALFORD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "918-794-6008",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.