Regenmedok

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

REGENMEDOK

Practice address

1150 E Lansing St
Broken Arrow, OK 74012-2429

Phone

(918) 921-7661

Fax

(918) 921-7662

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Lisa M Briscoe

Title

Manager

Phone

(918) 921-7661

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1396357679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E LANSING ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122429",
            "telephone_number": "918-921-7661",
            "fax_number": "918-921-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E LANSING ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122429",
            "telephone_number": "918-921-7661",
            "fax_number": "918-921-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENMEDOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-921-7661"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Jeanne Reed, M.ED CCC-SLP
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• Joshua Reese, OTR
• Karen Louise Reese, M.S LPC
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• Jennifer Anne Regester, LCSW
• Reggie D. Thomas, DMD, Inc.
• Rehab Dr Yarrozu LLC
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• Rehabilitation Medicine Specialists, PLLC

• Pain Clinic/Center in Broken Arrow, OK
• Providers in Broken Arrow, 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 Aug 20, 2020; 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.