Active NPI
Uptown Pain Management
- Pain Clinic/Center
- Tulsa, OK
National Provider Identifier
1770171605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- UPTOWN PAIN MANAGEMENT
- Practice address
- 1844 E 15TH St
Tulsa, OK 74104-4611 - Phone
- (918) 218-2041
- NPI assigned
- Jan 6, 2021
- 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
- Ihab Alex Kayello, DC
- Title
- Owner
- Phone
- (918) 749-1187
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
1844 E 15TH St
Tulsa, OK 74104-4611
Mailing address
13236 N. 7TH St.
Ste 4 #289
Phoenix, AZ 85022
Phone (918) 218-2041
National Provider Directory
National Provider DirectoryLocations
2633 E 15th St
#C1
Tulsa, OK 74104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tulsa, OK
- NPI 1598186421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1770171605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13236 N. 7TH ST.",
"address_2": "STE 4 #289",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85022",
"telephone_number": "918-218-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 E 15TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741044611",
"telephone_number": "918-218-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-06",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "KAYELLO",
"authorized_official_first_name": "IHAB",
"authorized_official_middle_name": "ALEX",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-749-1187",
"authorized_official_credential": "DC"
},
"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 Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.