SOUTH TULSA PAIN MANAGEMENT
NPI 1255821005
Pain Medicine - Interventional Pain Medicine in Bixby, OK

Active since May 17, 2018
12345 S MEMORIAL DR STE 106, BIXBY, OK 74008(918) 520-9692 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2018, May 17, 2018 (2 updates tracked since 2018).

About South Tulsa Pain Management NPPES

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

SOUTH TULSA PAIN MANAGEMENT (NPI 1255821005) is a healthcare organization registered as an interventional pain medicine in Bixby, Oklahoma and active in the NPI registry since May 2018. The organization lists James L Jolley, Owner, as its authorized official.

NPPES Registry Identity

NPI1255821005
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTH TULSA PAIN MANAGEMENT LLC.
Location Address12345 S MEMORIAL DR STE 106Bixby, OK 74008
Mailing Address12345 S Memorial Dr Ste 111Bixby, OK 74008-2570 · (918) 520-9692
Organization SubpartNo
Authorized OfficialJames L JolleyOwner · (918) 520-9692
Enumeration DateMay 17, 2018
Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration
NPI 1255821005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
12345 S MEMORIAL DR STE 106, Bixby, OK 74008

Other Names 1

Doing Business AsSouth Tulsa Pain Management

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 South Tulsa Pain Management LLC.'s NPI number?

The NPI number for South Tulsa Pain Management LLC. is 1255821005. It was assigned to this organization in the NPPES registry on May 17, 2018. The provider is doing business as South Tulsa Pain Management.

Where is South Tulsa Pain Management LLC. located?

South Tulsa Pain Management LLC. is located at 12345 S Memorial Dr Ste 106, Bixby, OK 74008. The listed phone number is (918) 520-9692.

What is South Tulsa Pain Management LLC.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for South Tulsa Pain Management LLC. was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.