NPIMap

Organization Active NPI

Oklahoma Pain and Wellness Center, PLC

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1376862771
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OKLAHOMA PAIN AND WELLNESS CENTER, PLC
Practice address
2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone
(918) 935-3240
Fax
(918) 935-3241
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jayen H Patel, MD
Title
Owner/Physician
Phone
(918) 935-3240

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Pain Clinic/Center 261QP3300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242

Mailing address

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone (918) 935-3240

Other practice location 1

6048 S Sheridan Rd
Tulsa, OK 74145-9212
Phone (918) 935-3240

Other identifiers 1

IdentifierTypeStateIssuer
200294580AMedicaidOK

National Provider Directory

National Provider Directory

Locations

12410 E 86th St N
Owasso, OK 74055
Phone (918) 272-0033

1628 S Cincinnati Ave
Tulsa, OK 74119
Phone (918) 935-3240

115 E 15th St
Tulsa, OK 74119
Phone (918) 359-2229

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376862771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048 S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741459212",
            "country_code": "US",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKLAHOMA PAIN AND WELLNESS CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "918-935-3240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200294580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.