Organization Active NPI

Pmo Medical PLLC

Doing business as Pain Management of Oklahoma

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Sand Springs, OK
National Provider Identifier
1649771874
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PMO MEDICAL PLLC
Doing business as
Pain Management of Oklahoma
Practice address
401 E Broadway CT Ste a
Sand Springs, OK 74063-7931
Phone
(918) 246-3456
Fax
(918) 516-3447
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Jeffrey Halford, DO
Title
Owner / Physician
Phone
(918) 794-6008

Specialties & licenses 1

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

Addresses

Primary practice location

401 E Broadway CT Ste a
Sand Springs, OK 74063-7931

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
200618300MedicaidOK

Other names 1

  • Pain Management of Oklahoma Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2172852Pmo Medical, PLLC401 E Broadway Court, Ste a, Sand Springs, OK 74063ComplianceSep 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1649771874",
    "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",
            "fax_number": "918-516-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BROADWAY CT STE A",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637931",
            "telephone_number": "918-246-3456",
            "fax_number": "918-516-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMO MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "HALFORD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "918-794-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200618300",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sand Springs, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.