Clinilogic LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CLINILOGIC LLC

Practice address

3727 NW 63Rd St Ste 302
Oklahoma City, OK 73116-1931

Phone

(214) 310-6763

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Rita Pannell

Title

Revenue Cycle Manager

Phone

(214) 310-6763

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Tax ID family

Advanced Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clinilogic LLC

  • Ambulatory Surgical Clinic/Center
  • Oklahoma City, OK
  • NPI 1639661333
  NPD tax ID

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1497375463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 LITTLE ELM PKWY STE 100-148",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750686672",
            "telephone_number": "214-310-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 NW 63RD ST STE 302",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161931",
            "telephone_number": "214-310-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINILOGIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "PANNELL",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "214-310-6763"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200844440A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rita@clinilogic.net",
            "affiliation": "N",
            "address_1": "1162 Honey Crk",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781323453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rita@clinilogic.net",
            "affiliation": "Y",
            "address_1": "3727 NW 63rd St Ste 301",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731161931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clinica Family Health LLC
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• Clinical Pharmacists LLC
• Clinical Radiology of Oklahoma
• Clinical Urology, Inc
• Clinilogic LLC
• Daniel Clayton Clinkenbeard, MD
• Clint Pitt, D.D.S., P.C.
• Clinton a. Winslow MD, Inc
• Clinton Webster MD PC

• All providers in Oklahoma City, OK
• Interventional Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.