Organization Active NPI

Oklahoma Interventional Pain Management LLC

  • Interventional Pain Medicine Physician
  • Anadarko, OK
National Provider Identifier
1932014412
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Aug 18, 2026

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.