Organization Active NPI

Everest Pain Management

  • Pain Clinic/Center
  • Tulsa, OK
National Provider Identifier
1528525524
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
EVEREST PAIN MANAGEMENT
Practice address
4134 S Harvard Ave Suite B1
Tulsa, OK 74135
Phone
(918) 747-2717
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Robert Patrick Peace
Title
Physician
Phone
(918) 747-2717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

4134 S Harvard Ave Suite B1
Tulsa, OK 74135

Mailing address

3701A S Harvard Ave # 569
Tulsa, OK 74135-2265

National Provider Directory

National Provider Directory

Locations

3701 S Harvard Ave
Ste A
Tulsa, OK 74135
Phone (405) 497-5861

4134 S Harvard Ave
Ste B1
Tulsa, OK 74135
Phone (918) 747-2717

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1528525524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701A S HARVARD AVE # 569",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE SUITE B1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-747-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-747-2717"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 26, 2019; 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.