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OMEGA PRACTICE MANAGEMENT INC NPI 1811907538


NPI Information

NPI: 1811907538
Provider Name: OMEGA PRACTICE MANAGEMENT INC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 37D2077727

Address:
1145 S. UTICA
STE 901
TULSA, OK
ZIP 74104
Phone: (918) 392-7071
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OMEGA PRACTICE MANAGEMENT INC is a pain medicine physical medicine rehabilitation in Tulsa, OK. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. OMEGA PRACTICE MANAGEMENT INC NPI is 1811907538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1145 S. UTICA
STE 901
TULSA, OK
ZIP 74104-013
Phone: (918) 392-7071
Fax: (918) 392-7072

The provider's authorized official is Anil K Reddy .
The authorized official title is Physical Medicine & Rehabilitiation and has the following contact phone number (918) 392-7071.

The CLIA number assigned to this NPI record is 37D2077727 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 8/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHEROKLAHOMAINDIVIDUAL IDENTIFICATION
2H15045MEDICARE UPINOKLAHOMA
3100010230BMEDICAIDOKLAHOMA
4800522189MEDICARE ID-TYPE UNSPECIFIEDOKLAHOMA
5085841112004OTHEROKLAHOMABLUECROSSBLUESHIELD OF OK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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