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TELL-A-NEURODOC, LLC
NPI 1164986774
Neuromusculoskeletal Medicine & OMM in Edmond, OK

Active since January 28, 2019CLIA 37D2164077 · Waiver
1113 NW 197TH ST, EDMOND, OK 73012(405) 696-3773(405) 424-3125 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tell-a-neurodoc, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELL-A-NEURODOC, LLC (NPI 1164986774) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Edmond, Oklahoma and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kim Nelson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164986774
Entity TypeOrganization
Primary Taxonomy204D00000X
Legal Business NameTELL-A-NEURODOC, LLC
Location Address1113 NW 197TH STEdmond, OK 73012-3407
Mailing Address1113 Nw 197th StEdmond, OK 73012-3407 · (405) 696-3773 · Fax (405) 424-3125
Phone(405) 696-3773
Fax(405) 424-3125
Organization SubpartNo
Authorized OfficialKim NelsonOffice Manager · (405) 590-2940
Enumeration DateJanuary 28, 2019
✔ NPI 1164986774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

1113 NW 197TH ST, Edmond, OK 73012
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2164077

Tellaneurodoc, LLC · Edmond, OK
Active · expires Mar 26, 2027
CLIA Number37D2164077
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorKent R. Smalley
Laboratory Phone(405) 696-3773
Laboratory LocationTellaneurodoc, LLC3432 NW 178th St, Suite A, Edmond, OK 73012
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is TELL-A-NEURODOC, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1164986774, enumerated as an "organization" on January 28, 2019.

Where is the provider located?

The provider is located at 1113 NW 197TH ST EDMOND, OK 73012 and the phone number is (405) 696-3773.

What is the provider's specialty?

Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.