Active NPI
Comprehensive Pain Center, Inc.
- Pain Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1992739908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 2427
- Legal business name
- COMPREHENSIVE PAIN CENTER, INC.
- Practice address
- 301 SW 80TH St
Oklahoma City, OK 73139-8124 - Phone
- (405) 601-4227
- Fax
- (405) 601-4237
- NPI assigned
- Jul 10, 2006
- 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
- Terrell Phillips, DO
- Title
- Directors of Operation
- Phone
- (405) 601-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 2427 | OK | Primary |
Addresses
Primary practice location
301 SW 80TH St
Oklahoma City, OK 73139-8124
Mailing address
PO Box 357
Lowell, AR 72745-0357
Phone (405) 775-9350
Other practice location 1
1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0015
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050020190 | Other | OK | MEDICARE RR |
| 352470400 | Other | OK | DOL |
| 100742950A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
301 SW 80th St
Oklahoma City, OK 73139
Phone (405) 601-4227
401 SW 80th St
Ste 200
Oklahoma City, OK 73139
Phone (405) 601-4227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1992739908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "LOWELL",
"state": "AR",
"postal_code": "727450357",
"telephone_number": "405-775-9350",
"fax_number": "405-775-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SW 80TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731398124",
"telephone_number": "405-601-4227",
"fax_number": "405-601-4237"
}
],
"practiceLocations": [
{
"address_1": "1616 S Kelly Ave",
"address_purpose": "LOCATION",
"city": "Edmond",
"state": "OK",
"postal_code": "730133651",
"country_code": "US",
"telephone_number": "405-330-0015",
"fax_number": "405-340-8804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMPREHENSIVE PAIN CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "TERRELL",
"authorized_official_title_or_position": "DIRECTORS OF OPERATION",
"authorized_official_telephone_number": "405-601-4227",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "OK",
"license": "2427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "050020190",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "352470400",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100742950A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.