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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

GENESIS MEDICAL PLLC
NPI 1235050089
Anesthesiology - Pain Medicine in Ada, OK

Active since July 24, 2026
1100 CRADDUCK RD, ADA, OK 74820(580) 221-2022(580) 221-2024 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Medical Pllc NPPES

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

GENESIS MEDICAL PLLC (NPI 1235050089) is a healthcare organization registered as a pain medicine in Ada, Oklahoma and active in the NPI registry since July 2026. The organization lists Sherry Lynne Clark, Billing/credentialing, as its authorized official.

NPPES Registry Identity

NPI1235050089
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGENESIS MEDICAL PLLC
Location Address1100 CRADDUCK RDAda, OK 74820
Mailing Address1100 Cradduck RdAda, OK 74820 · (580) 221-2022 · Fax (580) 221-2024
Phone(580) 221-2022
Fax(580) 221-2024
Organization SubpartNo
Authorized OfficialSherry Lynne ClarkBilling/credentialing · (580) 223-5180
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1235050089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

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.

1100 CRADDUCK RD, Ada, OK 74820
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Other Names 1

Other NameSouthern Oklahoma Pain Management

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Medical PLLC's NPI number?

The NPI number for Genesis Medical PLLC is 1235050089. It was assigned to this organization in the NPPES registry on July 24, 2026. The provider is also known as Southern Oklahoma Pain Management.

Where is Genesis Medical PLLC located?

Genesis Medical PLLC is located at 1100 Cradduck Rd, Ada, OK 74820. The listed phone number is (580) 221-2022.

What is Genesis Medical PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Genesis Medical PLLC was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.