Active NPI
Oklahoma Interventional Pain Management LLC
- Interventional Pain Medicine Physician
- Anadarko, OK
National Provider Identifier
1932014412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- OKLAHOMA INTERVENTIONAL PAIN MANAGEMENT LLC
- Practice address
- 1002 E Central Blvd
Anadarko, OK 73005-4405 - Phone
- (405) 247-2551
- NPI assigned
- Aug 18, 2026
- 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
- Nichole Anderson
- Title
- Owner
- Phone
- (405) 885-2084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1002 E Central Blvd
Anadarko, OK 73005-4405
Mailing address
1002 E Central Blvd
Anadarko, OK 73005-4405
Phone (405) 247-2551
Other practice location 1
40 Hospital Rd
Fairfax, OK 74637-5084
Phone (405) 247-2551
Other practice location 2
2308 W Highway 66
Stroud, OK 74079-6729
Phone (405) 247-2551
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1932014412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 E CENTRAL BLVD",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054405",
"telephone_number": "405-247-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 E CENTRAL BLVD",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054405",
"telephone_number": "405-247-2551"
}
],
"practiceLocations": [
{
"address_1": "40 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "OK",
"postal_code": "746375084",
"country_code": "US",
"telephone_number": "405-247-2551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2308 W Highway 66",
"address_purpose": "LOCATION",
"city": "Stroud",
"state": "OK",
"postal_code": "740796729",
"country_code": "US",
"telephone_number": "405-247-2551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OKLAHOMA INTERVENTIONAL PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "NICHOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-885-2084"
},
"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": []
}
Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.