NPIMap

Organization Active NPI

Pmo Medical PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • McAlester, OK
National Provider Identifier
1437638228
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
3924 Issued in OK
Legal business name
PMO MEDICAL PLLC
Practice address
4 E Clark Bass Blvd Ste 205
McAlester, OK 74501-4285
Phone
(918) 421-8897
NPI assigned
Aug 13, 2018
Last updated
Aug 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Jeffrey Halford, DONPI 1265454722
Title
Physician / Owner
Phone
(918) 794-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 3924 OK Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

4 E Clark Bass Blvd Ste 205
McAlester, OK 74501-4285

Mailing address

701 W Queens St Ste 100
Broken Arrow, OK 74012-1785
Phone (918) 794-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181026001167 OK DME Supplier - Physician - Osteopathic Manipulative Medicine 1153603832 Practice locations: McAlester, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Pmo Medical PLLC

    dba Pain Management of Oklahoma

    • Pain Medicine (Physical Medicine & Rehabilitation) Physician
    • Broken Arrow, OK
    • NPI 1780054627

    1153603832

    Same PAC ID

National Provider Directory

National Provider Directory

Locations

1761 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 251-0400

1201 E Wade Watts Ave
McAlester, OK 74501
Phone (918) 233-6522

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534118400000",
    "number": "1437638228",
    "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": "918-794-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD STE 205",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014285",
            "telephone_number": "918-421-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "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": "OK",
            "license": "3924",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.