Active NPI
Pain Management of Tulsa P C
- Pain Medicine (Anesthesiology) Physician
- Tulsa, OK
National Provider Identifier
1932240041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 2940
- Legal business name
- PAIN MANAGEMENT OF TULSA P C
- Practice address
- 6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823 - Phone
- (918) 447-9300
- Fax
- (918) 447-9308
- NPI assigned
- Feb 9, 2007
- 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
- Dr. C Scott Anthony, DO
- Title
- Owner
- Phone
- (918) 447-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2940 | OK | Primary |
Addresses
Primary practice location
6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823
Mailing address
6802 S Olympia Ave
Suite 100
Tulsa, OK 74132-1823
Phone (918) 447-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF6291 | Other | OK | RAILROAD MEDICARE |
| 200107040A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
6802 S Olympia Ave
Ste G150
Tulsa, OK 74132
Phone (918) 447-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380240000000",
"number": "1932240041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741321823",
"telephone_number": "918-447-9300",
"fax_number": "918-447-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "SUITE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741321823",
"telephone_number": "918-447-9300",
"fax_number": "918-447-9308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT OF TULSA P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2013-09-27",
"status": "A",
"authorized_official_last_name": "ANTHONY",
"authorized_official_first_name": "C",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-447-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "OK",
"license": "2940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF6291",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200107040A",
"state": "OK"
}
],
"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 Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.