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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200618300 | Medicaid | OK |
Other names 1
- Pain Management of Oklahoma
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2172852 | Pmo Medical, PLLC | Compliance | Sep 26, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.