Kizer Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KIZER CLINIC PLLC

Doing business as

Oasis Pain and Treatment Center

Practice address

1012 S Miles Ave
Union City, TN 38261-5432

Phone

(731) 884-9993

Fax

(731) 884-2180

NPI assigned

Mar 20, 2014

Last updated

Oct 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tracey Kizer, NURSE PRACTITIONER

Title

Manager /Owner

Phone

(731) 884-9993

Specialties & licenses 2

Addresses

Other names 3

• Oasis Pain and Treatment Center Doing business as
• OBION PAIN PARNTERS LLP Former legal business name
• OBION PAIN PARTNERS LLP Former legal business name

Locations

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1750708301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615432",
            "telephone_number": "731-884-9993",
            "fax_number": "731-884-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 S MILES AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615432",
            "telephone_number": "731-884-9993",
            "fax_number": "731-884-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIZER CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "KIZER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "MANAGER /OWNER",
        "authorized_official_telephone_number": "731-884-9993",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "030242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Pain and Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OBION PAIN PARNTERS LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "OBION PAIN PARTNERS LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tina Kelly, MSN, FNP-C
• Kentenn Anesthesia
• Amanda Lee Keown, NP-C
• Khumalo Foot and Ankle Clinic, Inc
• Bhekumuzi McGlen Khumalo, DPM
• Kizer Pharmacy LLC
• Kizer Pharmacy LLC (Kizer Pharmacy Long-Term Care)
• Jason Smith Kizer, PHARM. D
• Tracey Kizer, NP
• Kofi Nuako, MD, PC (Advanced Gastro)

• Primary Care Clinic/Center in Union City, TN
• Providers in Union City, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.