Organization Active NPI

Acellerated Interventional Orthopedics

  • Interventional Pain Medicine Physician
  • Sayre, OK
National Provider Identifier
1699311308
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ACELLERATED INTERVENTIONAL ORTHOPEDICS
Practice address
1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312
Phone
(580) 771-2011
Fax
(580) 292-3457
NPI assigned
Nov 18, 2019
Last updated
Nov 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ACELLERATED INTERVENTIONAL ORTHOPEDICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Brian K Rich, MD
Title
Physician / Owner
Phone
(580) 771-2011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1002 NE Highway 66 Ste 3
Sayre, OK 73662-9312

Mailing address

4020 N Macarthur Blvd Ste 122-321
Irving, TX 75038-6419
Phone (580) 771-2011

Other identifiers 1

IdentifierTypeStateIssuer
200093580AMedicaidOK

National Provider Directory

National Provider Directory
Part of
Acellerated Interventional Orthopedics

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1699311308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122-321",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386419",
            "telephone_number": "580-771-2011",
            "fax_number": "580-292-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NE HIGHWAY 66 STE 3",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736629312",
            "telephone_number": "580-771-2011",
            "fax_number": "580-292-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACELLERATED INTERVENTIONAL ORTHOPEDICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACELLERATED INTERVENTIONAL ORTHOPEDICS",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "580-771-2011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200093580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.