Organization · Type 2 NPI

Genesis Medical PLLC

Pain Medicine (Anesthesiology) Physician · Ardmore, OK

NPI number 1285434233 Active

Practice location

2002 12th Ave NW Ste B
Ardmore, OK 73401-1206

Call (580) 221-2022 Map

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician Primary	207LP2900X	None listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

5 other providers at this address

Other pain medicine (anesthesiology) physician providers in Ardmore

Genesis Medical PLLCPain Medicine (Anesthesiology) Physician Ardmore, OK NPI 1578174074

See all in Ardmore →

NPI record

NPI: 1285434233
Entity type: Organization (Type 2)
Issued: Mar 18, 2025
Last updated: Mar 24, 2025
Status: Active

Other names

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Genesis Medical PLLC · doing business as
Southern Oklahoma Bone & Joint P C · other name

Authorized official

Sherry Lynne Clark
Billing/credentialing
(580) 223-5180

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285434233

Genesis Medical PLLC's National Provider Identifier is 1285434233, issued on Mar 18, 2025. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Ardmore, OK. The record was last updated on Mar 24, 2025.