Okaloosa Pain Consultants P a

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

OKALOOSA PAIN CONSULTANTS P A

Practice address

150 E Redstone Ave
Suite a
Crestview, FL 32539-5357

Phone

(850) 689-8004

Fax

(850) 689-8086

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Jana Kay Wood

Title

Director of Operations

Phone

(850) 689-8004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1851411474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E REDSTONE AVE",
            "address_2": "SUITE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395357",
            "telephone_number": "850-689-8004",
            "fax_number": "850-689-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E REDSTONE AVE",
            "address_2": "SUITE A",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325395357",
            "telephone_number": "850-689-8004",
            "fax_number": "850-689-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKALOOSA PAIN CONSULTANTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "850-689-8004"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okaloosa Cardiology P a
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• Okaloosa Eye Care PA
• Okaloosa Ophthalmology Pediatric & Adult Eye Care
• Okaloosa Ophthalmology Pediatric & Adult Eye Care (Vizyon Optical)
• Okaloosa Pulmonary & Sleep Medicine Clinic
• Okaloosa Youth Development Center
• Robert Kenneth Oldham, MD
• Mallory Oler
• Erinn Oliver, DPT

• Interventional Pain Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.