NPIMap

Organization Active NPI

Pmo Medical PLLC

  • Pain Medicine Physician
  • Sallisaw, OK
National Provider Identifier
1780109652
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PMO MEDICAL PLLC
Practice address
3807 W Cherokee Ave
Sallisaw, OK 74955-2452
Phone
(918) 514-7662
Fax
(918) 776-0955
NPI assigned
Aug 11, 2017
Organization subpart
Yes
Parent organization
PMO MEDICAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Sports Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0010X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3807 W Cherokee Ave
Sallisaw, OK 74955-2452

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Pmo Medical PLLC

Locations

1201 E Wade Watts Ave
McAlester, OK 74501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1780109652",
    "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": "3807 W CHEROKEE AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552452",
            "telephone_number": "918-514-7662",
            "fax_number": "918-776-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMO MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PMO MEDICAL PLLC",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "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": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.